| NPI | 1700297835 |
|---|---|
| Former Name | TIFFANY SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 346777091) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 346778091) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |