Tiffany Ann Peterson

NPI #1316720204 in Saint Michael, Minnesota

Provider Information

NPI Number: 1316720204
Entity Type: Individual
Name: Tiffany Ann Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2023
Last Updated: Aug 15, 2023

Practice Location

Address: 12070 43RD ST NE STE 200
City: Saint Michael
State: Minnesota
ZIP Code: 55376-8427
Phone: (763) 515-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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