Tiffany Shante' Samuel
NPI #1093303513 in Florence, South Carolina
Provider Information
- NPI Number
- 1093303513
- Entity Type
- Individual
- Name
- Tiffany Shante' Samuel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 10, 2021
- Last Updated
- May 16, 2022
Practice Location
- Address
- 444 2ND LOOP RD
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29505-2814
- Phone
- (843) 536-9674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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