Individual
TIFFANY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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