Tiffiny Lynn Gideon

NPI #1285370775 in Springfield, Illinois

Provider Information

NPI Number
1285370775
Entity Type
Individual
Name
Tiffiny Lynn Gideon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 9, 2022
Last Updated
May 9, 2022

Practice Location

Address
3921 PINTAIL DR STE B
ZIP Code
62711-6738
Phone
(502) 297-0138

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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