Individual
TIFFANY LYNN PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
749 W GEORGIA ST, WOODRUFF, SC 29388-2013
(864) 905-1532
Mailing address
749 W GEORGIA ST, WOODRUFF, SC 29388-2013
(864) 905-1532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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