Individual
TIFFANY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 TALLSTONE DR, FAYETTEVILLE, NC 28311-1467
(757) 835-1088
Mailing address
706 TALLSTONE DR, FAYETTEVILLE, NC 28311-1467
(757) 835-1088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
VA
171M00000X
Case Manager/Care Coordinator
—
NC
171M00000X
Case Manager/Care Coordinator
—
VA
175T00000X
Peer Specialist
Primary
2024-12795-01
NC
Other
Enumeration date
12/14/2023
Last updated
05/12/2025
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