Individual
TIFANY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HEMLOCK ST, BROOKLYN, NY 11208-1643
(917) 436-9764
Mailing address
145 HEMLOCK ST, BROOKLYN, NY 11208-1643
(917) 436-9764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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