Provider Demographics
NPI:1962948778
Name:COVINGTON, TIFFANY RENEE (MSED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:RENEE
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:MSED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RIVIERA RD
Mailing Address - Street 2:
Mailing Address - City:EMLENTON
Mailing Address - State:PA
Mailing Address - Zip Code:16373-7124
Mailing Address - Country:US
Mailing Address - Phone:301-606-6392
Mailing Address - Fax:
Practice Address - Street 1:500 RIVIERA RD
Practice Address - Street 2:
Practice Address - City:EMLENTON
Practice Address - State:PA
Practice Address - Zip Code:16373-7124
Practice Address - Country:US
Practice Address - Phone:301-606-6392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst