Individual
TIFFANY STATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 W WHITMAN ST, POCATELLO, ID 83204-4203
(208) 241-6456
Mailing address
737 W WHITMAN ST, POCATELLO, ID 83204-4203
(208) 241-6456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
09/02/2025
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