Tiffany Latreese Madison
Behavior Technician in Atlanta, GA. Individual provider (NPI-1).
NPI number1558090571
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1558090571
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Latreese Madison
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1215 Hightower Trl Ste B120Atlanta, GA 30350-6205
Phone 866-523-4268
Mailing address
Dept La 22763Pasadena, CA 91185-2763
Phone 866-523-4268
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