Individual
TIFFANY D SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 CHATTERTON WAY, RIVERVIEW, FL 33578-3021
(813) 781-4316
Mailing address
4720 CHATTERTON WAY, RIVERVIEW, FL 33578-3021
(813) 781-4316
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7516
FL
Other
Enumeration date
06/24/2016
Last updated
05/10/2017
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