=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700705712
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NTBOYER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 MOUNTAIN VIEW CHURCH RD
-----------------------------------------------------
City | NORTH WILKESBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28659-8590
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-887-1228
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 MOUNTAIN VIEW CHURCH RD
-----------------------------------------------------
City | NORTH WILKESBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28659-8590
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-887-1228
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/FOUNDER
-----------------------------------------------------
Name | TIFFANY BOYER
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 503-887-1228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------