Individual
TIFFANY SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10576 FLATLANDS 4TH ST, BROOKLYN, NY 11236-4634
(347) 586-6109
Mailing address
10576 FLATLANDS 4TH ST, BROOKLYN, NY 11236-4634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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