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NPI Code Detail

MEDICARE: TIFFANY MILLAR

MEDICARE: TIFFANY MILLAR
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 AnalystUT
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720593809
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MILLAR
Provider Business Mailing Address
First Line : 1570 N MAIN ST
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1006
Country : US
Telephone Number : 801-210-9319
Fax Number :
Provider Business Practice Location Address
First Line : 1570 N MAIN ST
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1006
Country : US
Telephone Number : 801-210-9319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 12/13/2023

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Directions to “ TIFFANY MILLAR ” Practice Location

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