NPI age
10 years
Enumerated 2016-03-11
● Active
Type 1 · Individual
Tiahna E Fairbanks, BA
Fairbanks is 1 of 1 developmental therapist providers in Mountain Home and 1 of 162 in Idaho.
Primary specialty
Developmental Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2016-03-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 162 active developmental therapist providers in Idaho.
NPI age
10 years
↑ 7 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Practice location
2420 American Legion Blvd
Mountain Home, ID 836473146
Mailing address
2420 American Legion Blvd
Mountain Home, ID 836473146
Specialties
-
Developmental Therapist PrimaryA Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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