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General NPI Number Information
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NPI Number | 1194686626
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Entity Type | Individual
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Provider Name | TIFFANY L SHERMAN BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 3000 ATRIUM WAY STE 430
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3914
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Country | US
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Telephone | 856-412-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 539 LEXINGTON AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-2830
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Country | US
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Telephone | 856-281-0988
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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 | 15BC00252200
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License Number State | NJ
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