Individual
TIFFANY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
4267
TN
Other
Enumeration date
03/04/2021
Last updated
08/03/2026
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