Tifanee A Smart

NPI #1194442194 in Keaau, Hawaii

Provider Information

NPI Number: 1194442194
Entity Type: Individual
Name: Tifanee A Smart
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 20, 2022
Last Updated: Oct 20, 2022

Practice Location

Address: 16-565 KEAAU PAHOA RD
City: Keaau
State: Hawaii
ZIP Code: 96749-8113
Phone: (808) 313-4862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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