Individual
TIFFANY ELIAZBETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MAPLE STREET, GREENVILLE, MO 63944
(573) 409-6930
Mailing address
240 MAPLE STREET, GREENVILLE, MO 63944
(573) 409-6930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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