Tiffany Deann Dewitt
Individual provider Active NPI Behavior Technician · Ludowici, GA
NPI 1174413009 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1174413009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 433 Worthington Dr NE
Ludowici, GA 31316-7415 - Phone
- (406) 223-9252
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
433 Worthington Dr NE
Ludowici, GA 31316-7415
Mailing address
433 Worthington Dr NE
Ludowici, GA 31316-7415
Phone (406) 223-9252
Other providers in Ludowici, GA
- Caring Hearts Behavioral Services LLC
- Coastal Midwifery and Behavioral Health L L C
- Bridgett Coleman
- Latoya Crawley
- Thomas Richard Crutchfield
- Diversity Health Center Inc
- Diversity Health Center Inc.
- Diversity Health Center Inc.
- Holli Bailey Eason
- Excelsior Ambulance Service Inc
All providers in Ludowici, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.