Individual
TIFFANY ZENISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BOULDER HILL PASS, MONTGOMERY, IL 60538-2325
(331) 444-6319
Mailing address
133 BOULDER HILL PASS, MONTGOMERY, IL 60538-2325
(331) 444-6319
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
11/27/2023
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