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Individual

EMMALEE TIFFANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-3319
(785) 925-5808
Mailing address
1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-3319
(785) 925-5808

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
KS

Other

Enumeration date
05/20/2025
Last updated
06/14/2025
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