Tiffanie Avia Moore-Quinn
Marriage & Family Therapist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1760979751
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1760979751
- Entity type
- Individual (NPI-1)
- Name
- Tiffanie Avia Moore-Quinn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2018
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MI4309 | NV | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
2445 Fire Mesa St Ste 270Las Vegas, NV 89128-9015
Phone 702-757-8720
Mailing address
4712 July Springs AveNorth Las Vegas, NV 89085-1500
Phone 702-417-8613
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