TIFFANY DEE PHASUKKAN BCBA NPI 1831694603

NPI Information

NPI: 1831694603
Provider Name: TIFFANY DEE PHASUKKAN, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address: 2129 S GLENBURNIE RD STE 17
NEW BERN, NC
ZIP 28562
Phone: (252) 341-4192

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NPI Details

Tiffany Dee Phasukkan, BCBA is a behavior analyst in New Bern, NC. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Tiffany Dee Phasukkan, BCBA NPI is 1831694603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2129 S GLENBURNIE RD STE 17
NEW BERN, NC
ZIP 28562-240
Phone: (252) 341-4192
Fax: (866) 309-9297

The enumeration date for this NPI number is 3/26/2018 and was last updated on 3/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		1-17-29180	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-17-29180	OTHER		BEHAVIOR ANALYST CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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