Wellformed AI

NPI 1851878813 · live from the CMS NPI Registry

Tiffany Alexander

Behavior Analyst in Medford, OR. National Provider Identifier 1851878813, active.

NPI record

NPI1851878813 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3156 State St, Medford, OR 97504
Practice phone541-476-2373
Mailing address1215 Sw G St, Grants Pass, OR 97526
EnumeratedJuly 23, 2018
Last updatedJuly 23, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.