Tiffany Kingcannon
NPI #1265050520 in Boston, Massachusetts
Provider Information
- NPI Number
- 1265050520
- Entity Type
- Individual
- Name
- Tiffany Kingcannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 13, 2020
- Last Updated
- Jul 13, 2020
Practice Location
- Address
- 44 SCHOOL ST RM 325
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02108-4209
- Phone
- (248) 299-0030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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