Individual provider Active NPI

Tiffany Vansickle, RBT

  • Behavior Analyst
  • Lebanon, IN
National Provider Identifier
1952114282
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-24-378738 Issued in IN
Practice address
3850 Whitestown Pkwy
Lebanon, IN 46052-7601
Phone
(317) 520-4748
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-24-378738 IN Primary

Addresses

Primary practice location

3850 Whitestown Pkwy
Lebanon, IN 46052-7601

Mailing address

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

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

State licenses

LicenseStateTypeSpecialty
RBT-24-378738INMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC Behavior Analyst CurrentSince Feb 2, 2025 Accepting new patients

Locations

1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242

3850 Whitestown Pkwy
Lebanon, IN 46052
Phone 3175204748 ext. 106

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1952114282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121433",
            "telephone_number": "317-520-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WHITESTOWN PKWY",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460527601",
            "telephone_number": "317-520-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "TIFFANY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "RBT-24-378738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.