Individual
TIFFANY WICKLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66-437 KAMEHAMEHA HWY UNIT 95, HALEIWA, HI 96712-3005
(805) 979-9941
Mailing address
2342 PROFESSIONAL PKWY STE 300, SANTA MARIA, CA 93455-6819
(805) 979-9941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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