Tiffany June Harris
Behavior Technician in Columbia, SC. Individual provider (NPI-1).
NPI number1396258182
StatusActive
Last updated in NPPESNov 15, 2017
Details
- NPI
- 1396258182
- Entity type
- Individual (NPI-1)
- Name
- Tiffany June Harris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2017
- Last updated
- Nov 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1048 Wildwood Centre DrColumbia, SC 29229-8420
Phone 803-999-3752
Mailing address
3115 Sunset BlvdWest Columbia, SC 29169-3425
Phone 803-791-3722
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