Tiffany Shavonne Hosley

NPI #1518549187 in Eastvale, California

Provider Information

NPI Number: 1518549187
Entity Type: Individual
Name: Tiffany Shavonne Hosley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 23, 2021
Last Updated: Apr 23, 2021

Practice Location

Address: 12318 WINDCHIME PL APT E
City: Eastvale
State: California
ZIP Code: 91752-3160
Phone: (424) 219-2146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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