Individual
TIFANY YVETTE WINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 EDMONDSON PIKE APT 619, NASHVILLE, TN 37211-5870
(615) 564-4984
Mailing address
660 BELL RD APT 619, ANTIOCH, TN 37013-5006
(901) 230-1862
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W192643363
AETNA
TN
Enumeration date
08/15/2022
Last updated
08/15/2022
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