Tiara Humphrey

NPI #1477035079 in Clermont, Florida

Provider Information

NPI Number: 1477035079
Entity Type: Individual
Name: Tiara Humphrey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 30, 2018
Last Updated: Aug 30, 2018

Practice Location

Address: 4497 POWDERHORN PLACE DR
City: Clermont
State: Florida
ZIP Code: 34711-8929
Phone: (386) 361-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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