Tiffany Pingkan Nababan

NPI #1437742764 in Ladera Ranch, California

Provider Information

NPI Number
1437742764
Entity Type
Individual
Name
Tiffany Pingkan Nababan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 17, 2021
Last Updated
Feb 17, 2021

Practice Location

Address
600 CORPORATE DR STE 110
ZIP Code
92694-2107
Phone
(818) 345-2345

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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