Black, Tiffany Alex

Black, Tiffany Alex is an individual health care provider with primary practice located at 1149 W 190Th St Ste 2200 , Gardena CA 90248-4344. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Black, Tiffany Alex can be contacted via phone (310) 856-0800.

Contact Information

Primary practice address
1149 W 190Th St Ste 2200 Gardena CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1396247391
LBN Legal business name Black, Tiffany Alex
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated May 23rd, 2022 - about 4 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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