Individual
TIFFANIE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
(888) 726-4774
Mailing address
26 PETTEBONE ST, SWOYERSVILLE, PA 18704-1216
(908) 768-8779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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