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Individual

TIFFANY AMPER DOLDOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 ADELINE ST, OAKLAND, CA 94607-2608
(510) 835-9610
Mailing address
700 ADELINE ST, OAKLAND, CA 94607-2608
(510) 835-9610

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
225400000X
Rehabilitation Practitioner
Primary
CA
251B00000X
Case Management Agency
Primary
CA

Other

Enumeration date
06/01/2022
Last updated
04/01/2026
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