Tiffany Battle

Individual provider Active NPI Behavior Analyst · San Tan Valley, AZ

NPI 1801289236 · NPPES record last updated Mar 10, 2015

Key facts

NPI
1801289236
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
5386507 (AZ)
Practice address
2626 E. Manuel Road
San Tan Valley, AZ 85143
Phone
(480) 388-6990
NPI assigned
Mar 10, 2015
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

LicenseStateTypeSpecialty
5386507AZMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 5386507 AZ Yes

Addresses

Primary practice location

2626 E. Manuel Road
San Tan Valley, AZ 85143

Mailing address

2626 E. Manuel Road
San Tan Valley, AZ 85143
Phone (480) 388-6990

Other providers in San Tan Valley, AZ

All providers in San Tan Valley, AZ · Behavior Analyst in Arizona

Sources for this page

Verify at the official NPI Registry.