Tiffany Bradley
Behavior Technician in Columbus, GA. Individual provider (NPI-1).
NPI number1164076485
StatusActive
Last updated in NPPESJul 25, 2019
Details
- NPI
- 1164076485
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Bradley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2019
- Last updated
- Jul 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1133 13th StColumbus, GA 31901-2248
Phone 706-225-0101
Mailing address
1133 13th StColumbus, GA 31901-2248
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