Healthcare Provider Details

I. General information

NPI: 1568087179
Provider Name (Legal Business Name): TIERA LAMKIN NORDAN M.A., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 COTTAGE HILL RD
MOBILE AL
36609-3112
US

IV. Provider business mailing address

6333 COTTAGE HILL RD
MOBILE AL
36609-3112
US

V. Phone/Fax

Practice location:
  • Phone: 251-378-8223
  • Fax:
Mailing address:
  • Phone: 251-378-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-23-14800
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-121999
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2025-080
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: