NPI 1083114698

Tiffany Moore

Practitioner Assistant Behavior Analyst Lakeland, FL

Practice location

Address: 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364
Phone: (863) 665-7300
Mailing address: PO Box 93374, Lakeland, FL 33804-3374

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-49175 (FL)

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Registry record

NPI: 1083114698
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2018
Record last updated: 26 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.