Trautner, Tiffany Michele
Trautner, Tiffany Michele is an individual health care provider with primary practice located at 1135 Senoia Rd , Tyrone GA 30290-1625. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Trautner, Tiffany Michele can be contacted via phone (770) 626-3044.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-16-25686 | Georgia |
Profile Details
| NPI number | 1417576992 |
|---|---|
| LBN Legal business name | Trautner, Tiffany Michele |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2020 |
| Last updated | Nov 27th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417576992 | NPPES |
| Georgia | MEDICAID | 003218736A |
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