| NPI | 1316245947 |
|---|---|
| Former Name | TIFFANY SZYMANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7758) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 980) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2019-01-28 |