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NPI Code Detail

MEDICARE: MS. TIFFANY LENOIR BCBA

MEDICARE: MS. TIFFANY LENOIR BCBA
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 Analyst1-11-8039FL

General Provider Information

NPI Number : 1184928889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFANY LENOIR BCBA
Provider Business Mailing Address
First Line : 1050 CROWN POINTE PKWY STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30338-7702
Country : US
Telephone Number : 800-483-7318
Fax Number :
Provider Business Practice Location Address
First Line : 1050 CROWN POINTE PKWY STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30338-7702
Country : US
Telephone Number : 800-483-7318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 03/07/2024

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