Tabitha Lynn Tipton
Behavior Technician in Mansfield, OH. Individual provider (NPI-1).
NPI number1023596384
StatusActive
Last updated in NPPESJul 30, 2018
Details
- NPI
- 1023596384
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Lynn Tipton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2018
- Last updated
- Jul 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1033 Larchwood RdMansfield, OH 44907-2424
Phone 419-747-4122 · Fax 419-747-4126
Mailing address
505 Wood StMansfield, OH 44907-1141
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