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Tifanie Goodman

Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1164025656
StatusActive
Last updated in NPPESNov 18, 2020

Details

NPI
1164025656
Entity type
Individual (NPI-1)
Name
Tifanie Goodman
Sex
Female
Sole proprietor
No
Enumeration date
Nov 18, 2020
Certification date
Nov 18, 2020
Last updated
Nov 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Phone 248-436-4400

Mailing address

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Phone 248-436-4400

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