Tiffany Banggo

NPI #1083254759 in Kihei, Hawaii

Provider Information

NPI Number: 1083254759
Entity Type: Individual
Name: Tiffany Banggo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 10, 2020
Last Updated: Jan 10, 2020

Practice Location

Address: 2680 WAI WAI PL
City: Kihei
State: Hawaii
ZIP Code: 96753-8178
Phone: (808) 206-8103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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