Tiffany Chavis

Individual provider Active NPI Behavior Technician · Mebane, NC

NPI 1306507983 · NPPES record last updated Jan 5, 2022

Key facts

NPI
1306507983
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
103 Luray LN
Mebane, NC 27302-0657
Phone
(845) 645-3232
NPI assigned
Jan 5, 2022
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X NC Yes

Addresses

Primary practice location

103 Luray LN
Mebane, NC 27302-0657

Mailing address

103 Luray LN
Mebane, NC 27302-0657

Other names

  • Tiffany Andrews Former name

Other providers in Mebane, NC

All providers in Mebane, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.