MEDICARE: TIFFANY CRAWFORD BCABA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-342686	MO
2	106E00000X	Assistant Behavior Analyst	0-25-16262	MO

General Provider Information

NPI Number	:	1457189722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY CRAWFORD BCABA

Provider Business Mailing Address
First Line	:	1701 TROOST AVE # 1198
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1540
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 TROOST AVE # 1198
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1540
Country	:	US
Telephone Number	:	720-784-4944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/30/2025

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Directions to “ TIFFANY CRAWFORD BCABA” Practice Location

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