MR. Jeremy Tiefenbrun

NPI #1336782085 in Solana Beach, California

Provider Information

NPI Number: 1336782085
Entity Type: Individual
Name: MR. Jeremy Tiefenbrun
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 25, 2019
Last Updated: Oct 25, 2019

Practice Location

Address: 992 1 C LOMAS SANTA FE DR PMB 291
City: Solana Beach
State: California
ZIP Code: 92075
Phone: (858) 209-3241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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