Most Relevant Information
Provider Data
| NPI Number: | 1003599499 |
| Provider Name: | TIFFANY TEOFILO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-289906 |
Most Important Dates
| Enumeration Date: | 08/10/2023 |
| Last Updated: | 08/10/2023 |
Provider Practice Location
1001 KAMOKILA BLVD STE 210
KAPOLEI
HI
967072096
Practice Location Phone/Fax
| Phone: | 8085916060 |
| Fax: |
Provider Mailing Location
94-801 KIME ST
WAIPAHU
HI
967971292
Provider Mailing Phone/Fax
| Phone: | 8083427950 |
| Fax: |