Individual
MS. TIFFANY ALANA BASCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14036 170TH ST, JAMAICA, NY 11434-4632
(347) 843-7760
Mailing address
468 SHEFFIELD AVE, BROOKLYN, NY 11207-5315
(347) 843-7760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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