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NPI Code Detail

MEDICARE: TIFFANY HAMILTON

MEDICARE: TIFFANY HAMILTON
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 AnalystLBA0897NV

General Provider Information

NPI Number : 1508582693
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY HAMILTON
Provider Business Mailing Address
First Line : 7260 W AZURE DR STE 140-104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7570 NORMAN ROCKWELL LN STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89143-6013
Country : US
Telephone Number : 702-848-2980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 03/24/2025

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Directions to “ TIFFANY HAMILTON ” Practice Location

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