Individual
TIFFANY MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
Mailing address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
UT
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
12/11/2017
Last updated
12/13/2023
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