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NPI Code Detail

MEDICARE: TIFFANIE HAWKINS

MEDICARE: TIFFANIE HAWKINS
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 Analyst1-15-20866WA

General Provider Information

NPI Number : 1922557305
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANIE HAWKINS
Provider Business Mailing Address
First Line : 2366 EASTLAKE AVE E STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3391
Country : US
Telephone Number : 206-829-9328
Fax Number :
Provider Business Practice Location Address
First Line : 2366 EASTLAKE AVE E STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3391
Country : US
Telephone Number : 206-829-9328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2016
Last Update Date : 09/27/2016

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Directions to “ TIFFANIE HAWKINS ” Practice Location

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