Tiffany Chavez
Individual provider Active NPI Behavior Technician · Dana Point, CA
NPI 1821609801 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1821609801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 32565 Golden Lantern St Ste B180
Dana Point, CA 92629-3247 - Phone
- (714) 552-1317
- NPI assigned
- Aug 12, 2020
- 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
32565 Golden Lantern St Ste B180
Dana Point, CA 92629-3247
Mailing address
32565 Golden Lantern St Ste B180
Dana Point, CA 92629-3247
Phone (714) 552-1317
Other providers in Dana Point, CA
- Meredith Kathleen Carrillo
- Ann Marie Casazza
- Louise Casey
- Mary Castillo
- Katelyn Cecil
- Favian Cheong
- Brandon Christensen
- Sophia Chu
- Wayland Chu
- Johnyolando Chua
All providers in Dana Point, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. 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.