Tiffany Eddy
Individual provider Active NPI Behavior Technician · Cameron, NC
NPI 1194583419 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1194583419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-332531 (NC)
- Practice address
- 1477 NC 24-87
Cameron, NC 28326-6752 - Phone
- (910) 484-1711
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-332531 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-332531 | NC | Yes |
Addresses
Primary practice location
1477 NC 24-87
Cameron, NC 28326-6752
Mailing address
568 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 484-1711
Other providers in Cameron, NC
- Eura Doraci
- Tamekia Dowdy
- Dana Dowell
- Miranda Lin Durbin
- Arwen N Durussel
- Linda Ann Edwards
- Sydney Edwards
- Hunter Lena Eriquez
- Catherine Fernandes
- Alexis Finn
All providers in Cameron, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. 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.