Larusso, Tiffany

Larusso, Tiffany is an individual health care provider with primary practice located at 7 Regent St Ste 708 , Livingston NJ 07039-1628. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Larusso, Tiffany can be contacted via phone (551) 237-4646.

Contact Information

Primary practice address
7 Regent St Ste 708 Livingston NJ 07039-1628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-66313 New Jersey

Profile Details

NPI number 1548926124
LBN Legal business name Larusso, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2021
Last updated Jun 22nd, 2023 - about last year

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 1548926124 NPPES
Other RBT-21-158668 RBT CERT

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