MEDICARE: TIFFANY BECTON

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
1	225600000X	Dance Therapist
2	374J00000X	Doula	4768

General Provider Information

NPI Number	:	1194483545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY BECTON

Provider Business Mailing Address
First Line	:	839 E MARKET ST STE 106-217
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-2460
Country	:	US
Telephone Number	:	330-510-6357
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 E MARKET ST STE 106-217
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-2460
Country	:	US
Telephone Number	:	330-510-6357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	08/22/2022

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Directions to “ TIFFANY BECTON ” Practice Location

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