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1831694603
TIFFANY DEE PHASUKKAN
NEW BERN, NC
NPI
1831694603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NC 1-17-29180)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
TIFFANY DEE PHASUKKAN BCBA
2129 S GLENBURNIE RD STE 17
NEW BERN, NC 28562-2240
Phone number: 252-341-4192
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Mailing Address
TIFFANY DEE PHASUKKAN BCBA
308 GREENVILLE BLVD SE STE B1
GREENVILLE, NC 27858-5758
Phone number: 252-341-4192
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