Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1427852318 Deactivated / Inactive NPI

Tiffanie Bacon

Behavior Technician • Morrow, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tiffanie Bacon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 01, 2025
NPI Deactivation Date May 14, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Tiffanie Bacon was a registered Behavior Technician practicing in Morrow, GA. Throughout an active medical career spanning 1 years, Tiffanie Bacon provided care at the practice location at 5610 PHILLIPS DR until profile deactivation on 2025-05-14.

Practice Location & Contact Primary Location

Practice Address

5610 Phillips Dr

Morrow, GA 302601045

Telephone 6785496559

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Morrow, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Morrow, GA (12251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 14, 2025

Record deactivated on May 14, 2025

NPI Profile Active April 01, 2025

NPI status registered as active in NPPES database

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Updated Practice Location April 01, 2025

Registered at 5610 PHILLIPS DR, MORROW, GA 302601045 (Tel: 6785496559)

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Updated Business Mailing Address April 01, 2025

Registered at 5610 PHILLIPS DR, MORROW, GA 302601045 (Tel: 6785496559)

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Provider Name / Credentials Updated April 01, 2025

Recorded as TIFFANIE BACON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Behavior Technician

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Initial NPI Registration & Enumeration April 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427852318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2025
Last Update: April 01, 2025
Deactivation Date: May 14, 2025

Mailing Address

5610 Phillips Dr

Morrow, GA 302601045

Phone: 6785496559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.