Tiffany Wickliffe

NPI #1962081703 in Haleiwa, Hawaii

Provider Information

NPI Number: 1962081703
Entity Type: Individual
Name: Tiffany Wickliffe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 66-437 KAMEHAMEHA HWY UNIT 95
City: Haleiwa
State: Hawaii
ZIP Code: 96712-3005
Phone: (805) 979-9941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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