Tiffany Wells
Individual provider Active NPI Behavior Analyst · Walnut Park, CA
NPI 1467910356 · NPPES record last updated Mar 9, 2019
Key facts
- NPI
- 1467910356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5954 - Phone
- (323) 538-9050
- NPI assigned
- Mar 9, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5954
Mailing address
8800 Prince Ave
Los Angeles, CA 90002-1259
Other providers in Walnut Park, CA
- Saralee Guadalupe Torres
- Yancy Trinity
- Angel Aldair Valdez
- Melanie I Valerio
- Esmeralda Viramontes
- Martha Lucila Zarate
All providers in Walnut Park, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2019. 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.