Tifani Huruma Madrona

NPI #1831915073 in Blacklick, Ohio

Provider Information

NPI Number: 1831915073
Entity Type: Individual
Name: Tifani Huruma Madrona
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 1582 N WAGGONER RD
City: Blacklick
State: Ohio
ZIP Code: 43004-8669
Phone: (614) 344-0419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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