TIFFANI ROMAYNE WALLACE

ELIZABETHTOWN, KY
NPI1700346665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
TIFFANI ROMAYNE WALLACE
1239 WOODLAND DR
ELIZABETHTOWN, KY 42701-2770
Phone number: 501-358-5106
Mailing Address
TIFFANI ROMAYNE WALLACE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345