Active NPI
Tyfaine Smith, BCBA, LBA
- Behavior Analyst
- Burleson, TX
National Provider Identifier
1912446345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24365
- Practice address
- 1169 N. Burleson Blvd
Suite 107-344
Burleson, TX 76028 - Phone
- (940) 441-7603
- NPI assigned
- Feb 17, 2017
- Reactivated
- Feb 6, 2020
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24365 | TX | Primary |
Addresses
Primary practice location
1169 N. Burleson Blvd
Suite 107-344
Burleson, TX 76028
Mailing address
1169 N. Burleson Blvd
Suite 107-344
Burleson, TX 76028
Phone (940) 441-7603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-24365 | Other | TX | BACB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1912446345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 N. BURLESON BLVD",
"address_2": "SUITE 107-344",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "940-441-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 N. BURLESON BLVD",
"address_2": "SUITE 107-344",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "940-441-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TYFAINE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"deactivation_date": "2017-12-21",
"reactivation_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-16-24365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-16-24365",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
- Harry Gerhart Smith, D.O.
- Julianne Smith, LPC
- Kevyon Smith
- Rodney J Smith
- Ronnie Scott Smith, PMHNP-BC
- Arshdeep Sohi
- Shelby Solis, LCSW
- James E Sorensen, DC
- Southern Star Pediatric Speech Therapy, PLLC (Rachael Harrelson, Southern Star Pediatric Speech Therapy, PLLC)
- Southwest Endoscopy & Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.