Individual
MRS. TIFFANY MECHELLE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
317 RIVERSIDE DR, EUFAULA, AL 36027-2521
(334) 618-3302
Mailing address
317 RIVERSIDE DR, EUFAULA, AL 36027-2521
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB895599
AL
106S00000X
Behavior Technician
BACB895599
AL
Other
Enumeration date
03/14/2023
Last updated
03/05/2024
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