Individual
TIFFANY LEANNE AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 14TH ST, MODESTO, CA 95354-1003
(209) 572-2589
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-18-71826
CA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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