Individual
TIFFANY AVA-GAIL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(860) 404-9628
Mailing address
112 WESTBOURNE PKWY FL 2, HARTFORD, CT 06112-1706
(561) 907-1347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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