Individual
TIFFANY LYNNE OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
PSY1584
NM
103TC0700X
Clinical Psychologist
PSY1584
NM
Other
Enumeration date
12/23/2010
Last updated
06/26/2026
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