Tiffany R Wilson

NPI #1710456579 in Mount Vernon, New York

Provider Information

NPI Number: 1710456579
Entity Type: Individual
Name: Tiffany R Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 16 S TERRACE AVE
City: Mount Vernon
State: New York
ZIP Code: 10550-2406
Phone: (914) 426-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X
Behavior Technician	106S00000X	Primary

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