Healthcare Provider Details

I. General information

NPI: 1720368806
Provider Name (Legal Business Name): TIFFANY N RIGAL SLP, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY D NOBLES SLP

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MCMILLAN RD
WEST MONROE LA
71291-5327
US

IV. Provider business mailing address

213 CHICKASAW DR
WEST MONROE LA
71291-2315
US

V. Phone/Fax

Practice location:
  • Phone: 318-582-5889
  • Fax:
Mailing address:
  • Phone: 318-381-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6477
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberL-147
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: