Tiffany Moore

NPI #1235616533 in Kihei, Hawaii

Provider Information

NPI Number: 1235616533
Entity Type: Individual
Name: Tiffany Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 19, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 1847 S KIHEI RD STE 104-105
City: Kihei
State: Hawaii
ZIP Code: 96753-7939
Phone: (808) 879-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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