Provider Demographics
NPI:1477089936
Name:LEGIER, TIFFANY
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:LEGIER
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 1:1475 TERMINAL WAY STE D
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3225
Mailing Address - Country:US
Mailing Address - Phone:753-290-6237
Mailing Address - Fax:775-322-6930
Practice Address - Street 1:1475 TERMINAL WAY STE D
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3225
Practice Address - Country:US
Practice Address - Phone:775-786-6880
Practice Address - Fax:775-786-6899
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst