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General NPI Number Information
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NPI Number | 1093673527
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Entity Type | Individual
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Provider Name | TIFFANY R BUCKMAN BCBA, MS, MA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 5900 ENTRADA AVE
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City | ATASCADERO
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State | CA
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Zip | 93422-4231
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Country | US
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Telephone | 805-439-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 470 ESTERO AVE
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City | MORRO BAY
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State | CA
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Zip | 93442-2638
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Country | US
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Telephone | 805-235-5656
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BCBA-1-26-87052
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License Number State | CA
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