Individual
MRS. TIFFANY VIRGINIA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
342 LAUREL OAK LN, SAVANNAH, GA 31404-8019
(843) 709-8001
Mailing address
342 LAUREL OAK LN, SAVANNAH, GA 31404-8019
(843) 709-8001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8959
SC
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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