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NPI Code Detail

MEDICARE: TIFFANY MARIE BERNIER

MEDICARE: TIFFANY MARIE BERNIER
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1164984902
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MARIE BERNIER
Provider Business Mailing Address
First Line : 943 9TH AVE APT C
Second Line :
City : HONOLULU
State : HI
Zip : 96816-2180
Country : US
Telephone Number : 352-361-3158
Fax Number :
Provider Business Practice Location Address
First Line : 525 N TRYON STREET
Second Line : SUITE 1600
City : CHARLOTTE
State : NC
Zip : 28202-0213
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 06/28/2026

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Directions to “ TIFFANY MARIE BERNIER ” Practice Location

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