Tiffany Nicole Visnicky
NPI #1518521301 in Broad Brook, Connecticut
Provider Information
- NPI Number
- 1518521301
- Entity Type
- Individual
- Name
- Tiffany Nicole Visnicky
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 26, 2019
- Last Updated
- Apr 26, 2019
Practice Location
- Address
- 14 PERRI LN
- City
- Broad Brook
- State
- Connecticut
- ZIP Code
- 06016-9651
- Phone
- (203) 258-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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