Tiffany R Wilson, is a
Behavior Technician based in Mount Vernon, New York. Tiffany R Wilson is licensed to practice in New York (license number ) and her current practice location is
16 S Terrace Ave, Mount Vernon, New York. She can be reached at her office (for appointments etc.) via phone at
(914) 426-0067.
NPI number for Tiffany R Wilson is 1710456579 and her current mailing address is 16 S Terrace Ave, Mount Vernon, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710456579.
Healthcare Provider's Profile
| Full Name | Tiffany R Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 16 S Terrace Ave, Mount Vernon, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710456579
- Provider Enumeration Date: 11/21/2018
- Last Update Date: 11/26/2018
Medical Identifiers
Medical identifiers for Tiffany R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710456579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (New York) | Secondary |
| 106S00000X | Behavior Technician | (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany R Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tiffany R Wilson,
16 S Terrace Ave,
Mount Vernon, NY 10550-2406
Ph: (914) 426-0067 | Tiffany R Wilson,
16 S Terrace Ave,
Mount Vernon, NY 10550-2406
Ph: (914) 426-0067 |
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