Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffanie Blaylock

Individual provider Behavior Technician · NPI 1467303511

Tiffanie Blaylock is a Behavior Technician in Brookhaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

1094 S First St NE
Brookhaven, MS 39601-4762
Phone: (601) 823-4422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 81-3700204 (MS)

Record details

NPI number1467303511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address402 Legacy Park, Ridgeland, MS 39157-4315

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