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NPI Code Detail

MEDICARE: TIFFANIE AVIA MOORE-QUINN

MEDICARE: TIFFANIE AVIA MOORE-QUINN
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
1106H00000XMarriage & Family TherapistMI4309NV
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1760979751
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANIE AVIA MOORE-QUINN
Provider Business Mailing Address
First Line : 4712 JULY SPRINGS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89085-1500
Country : US
Telephone Number : 702-417-8613
Fax Number :
Provider Business Practice Location Address
First Line : 2445 FIRE MESA ST STE 270
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9015
Country : US
Telephone Number : 702-757-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 12/08/2023

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Directions to “ TIFFANIE AVIA MOORE-QUINN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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