MEDICARE: TIFFANY HSUEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	9981	TX

General Provider Information

NPI Number	:	1710689302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY HSUEH

Provider Business Mailing Address
First Line	:	11300 N CENTRAL EXPY STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6705
Country	:	US
Telephone Number	:	214-361-3551
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 N CENTRAL EXPY STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6705
Country	:	US
Telephone Number	:	214-361-3551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	06/18/2026

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Directions to “ TIFFANY HSUEH ” Practice Location

Language	Start Address	Practice Location

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