Madelyn Raye Tiffany I

NPI #1184322612 in Boulder, Colorado

Provider Information

NPI Number: 1184322612
Entity Type: Individual
Name: Madelyn Raye Tiffany I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 23, 2023
Last Updated: Feb 23, 2023

Practice Location

Address: 1115 GRANDVIEW AVE
City: Boulder
State: Colorado
ZIP Code: 80302-6114
Phone: (760) 840-7102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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