Individual
TIFFANY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 BRADLEY ST, CONCORD, NC 28025-2979
(980) 785-1113
(980) 785-1114
Mailing address
2810 COLISEUM CENTRE DR STE 520, CHARLOTTE, NC 28217-3252
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58825
NC
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/29/2012
Last updated
06/09/2022
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