Individual
TIFFANY DANIELLE OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3966 ATLANTA HWY, MONTGOMERY, AL 36109
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-229451
22-229451
AL
Enumeration date
08/23/2022
Last updated
03/13/2023
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