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NPI 1780509125

NPI 1780509125 : TIFFANY MARIE FERRANT : BRADFORD, MA

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General NPI Number Information
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    NPI Number           |    1780509125
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    Entity Type          |    Individual 
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    Provider Name        |    TIFFANY MARIE FERRANT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2026
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    Last Update Date     |    08/13/2026
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Provider Practice Location Address
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    Address Line         |    3 FERRY ST 
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    City                 |    BRADFORD
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    State                |    MA
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    Zip                  |    01835-7442
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    Country              |    US
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    Telephone            |    351-222-8064
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    48 ELM ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01609-2541
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    Country              |    US
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    Telephone            |    351-222-8064
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    S79629736
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    License Number State |    MA
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