Individual
TIFFANY BROOKE FROGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
402 W LINCOLN TRAIL BLVD STE C, RADCLIFF, KY 40160-2011
(310) 560-9270
(270) 547-3739
Mailing address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
(310) 560-9270
(270) 547-3739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-295046
KY
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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