Individual
MRS. TIFFANY ANN BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1701 FRONT ST # 8, KEESEVILLE, NY 12944-3619
(518) 834-7071
Mailing address
1701 FRONT ST # 8, KEESEVILLE, NY 12944-3619
(518) 834-7071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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