Samuel, Tiffany Shante'
Samuel, Tiffany Shante' is an individual health care provider with primary practice located at 444 2Nd Loop Rd , Florence SC 29505-2814. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Samuel, Tiffany Shante' can be contacted via phone (843) 536-9674.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-95158 | Virginia |
Profile Details
| NPI number | 1093303513 |
|---|---|
| LBN Legal business name | Samuel, Tiffany Shante' |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2021 |
| Last updated | May 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093303513 | NPPES |
| Virginia | MEDICAID | 0000000 |
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