Tiffany Marie Fasching

NPI #1417738329 in Independence, Missouri

Provider Information

NPI Number: 1417738329
Entity Type: Individual
Name: Tiffany Marie Fasching
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 19201 E VALLEY VIEW PKWY STE H
City: Independence
State: Missouri
ZIP Code: 64055-6913
Phone: (616) 474-3995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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