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Individual

TIFFANY D. DIEHL

Active
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Individual

TIFFANY D. DIEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPP, BCBA, LBA

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
244268
KY
103TC0700X
Clinical Psychologist
Primary
162688
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000646927
ANTHEM BCBS (NON PAR)
05
30610026
KY
Enumeration date
01/22/2010
Last updated
06/23/2025
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