NPI 1467303511

Tiffanie Blaylock

Practitioner Behavior Technician Brookhaven, MS

Practice location

Address: 1094 S First St NE, Brookhaven, MS 39601-4762
Phone: (601) 823-4422
Mailing address: 402 Legacy Park, Ridgeland, MS 39157-4315

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 81-3700204 (MS)

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1467303511
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2026
Record last updated: 5 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.