Tiffany Hazen

NPI #1518625920 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1518625920
Entity Type: Individual
Name: Tiffany Hazen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 2, 2021
Last Updated: Apr 2, 2025

Practice Location

Address: 1607 LINCOLN WAY
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2462
Phone: (208) 500-0567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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