Individual
TIFFANY MARIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLBA
Contact information
Practice address
1011 N HIGHWAY 27, WHITLEY CITY, KY 42653-5025
(606) 516-4665
Mailing address
574 MEADOWS GROVE RD, PINE KNOT, KY 42635-9152
(606) 516-4665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
298761
KY
106E00000X
Assistant Behavior Analyst
285356
KY
Other
Enumeration date
06/21/2023
Last updated
05/05/2025
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