Provider Demographics
NPI:1235686569
Name:HILL, TIFFANY DAISHANIK
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:DAISHANIK
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 YORKTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2810
Mailing Address - Country:US
Mailing Address - Phone:504-342-1099
Mailing Address - Fax:
Practice Address - Street 1:1604 YORKTOWNE DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2810
Practice Address - Country:US
Practice Address - Phone:504-342-1099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst