Provider Demographics
NPI:1194228601
Name:BAILEY, TYMI JEAN (BCBA)
Entity Type:Individual
Prefix:
First Name:TYMI
Middle Name:JEAN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3680 S CEDAR ST STE A
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-5728
Mailing Address - Country:US
Mailing Address - Phone:253-289-9500
Mailing Address - Fax:206-641-9540
Practice Address - Street 1:3680 S CEDAR ST STE A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-5728
Practice Address - Country:US
Practice Address - Phone:253-289-9500
Practice Address - Fax:206-641-9540
Is Sole Proprietor?:No
Enumeration Date:2018-03-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician