Tiffany Rose Menzel, BCBA

NPI #1962890590 in Fountain, Colorado

Provider Information

NPI Number: 1962890590
Entity Type: Individual
Name: Tiffany Rose Menzel, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 6, 2015
Last Updated: Jan 21, 2015

Practice Location

Address: 926 SQUARE DANCE LN
City: Fountain
State: Colorado
ZIP Code: 80817-4160
Phone: (325) 338-6182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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