Fagan, Tiffany Rochelle

Fagan, Tiffany Rochelle is an sole proprietor health care provider with primary practice located at 2504 3Rd Ave , Merced CA 95340-3010. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Fagan, Tiffany Rochelle can be contacted via phone (209) 720-9380.

Contact Information

Primary practice address
2504 3Rd Ave Merced CA 95340-3010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 700251 California

Profile Details

NPI number 1477275477
LBN Legal business name Fagan, Tiffany Rochelle
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2022
Last updated Sep 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477275477 NPPES
California Other 700251 RBT

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