Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 15TH PL, FOREST GROVE, OR 97116-3108
(503) 367-6152
Mailing address
2814 15TH PL, FOREST GROVE, OR 97116-3108
(503) 367-6152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002844
MI
103K00000X
Behavior Analyst
ABA-B-10243335
OR
Other
Enumeration date
04/13/2016
Last updated
07/22/2025
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