Provider Demographics
NPI:1952080905
Name:WRIGHT, TIFFANY LEANNE (RBT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LEANNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:LEANNE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:1800 OLD HWY 51 S
Mailing Address - Street 2:STE F
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-8025
Mailing Address - Country:US
Mailing Address - Phone:901-290-3916
Mailing Address - Fax:901-347-3495
Practice Address - Street 1:1880 OLD HIGHWAY 51 S STE F
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011-8025
Practice Address - Country:US
Practice Address - Phone:901-552-7397
Practice Address - Fax:901-347-3495
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-22-221076106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician