Individual
TIFFANY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5040 N 15TH AVE, PHOENIX, AZ 85015-3328
(916) 612-0028
Mailing address
903 S SWALLOW LN, GILBERT, AZ 85296-0436
(916) 612-0028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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