Tiffany Koch
Behavior Technician in Tucson, AZ. Individual provider (NPI-1).
NPI number1316637366
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1316637366
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Koch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2023
- Certification date
- May 10, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6369 E Tanque RoadSuite 100
Tucson, AZ 85715
Phone 303-989-8169
Mailing address
6369 E Tanque RoadSuite 100
Tucson, AZ 85715
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