| NPI | 1245806348 |
|---|---|
| Former Name | TIFFANIE ROSE BARANOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-03-12 |