Provider Demographics
NPI:1609528652
Name:HUNT, TIFFANY DELORES (RBT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DELORES
Last Name:HUNT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:DELORES
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4475 BEECH HAVEN TRL SE UNIT 1104475
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-1300
Mailing Address - Country:US
Mailing Address - Phone:404-747-6312
Mailing Address - Fax:
Practice Address - Street 1:1215 HIGHTOWER TRL STE B120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-6205
Practice Address - Country:US
Practice Address - Phone:404-747-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician