Provider Demographics
NPI:1952160624
Name:MEYN, TIFFANY CHAELYN
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:CHAELYN
Last Name:MEYN
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 1:6576 SABADO TARDE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-7015
Mailing Address - Country:US
Mailing Address - Phone:714-559-2645
Mailing Address - Fax:
Practice Address - Street 1:390 WOODLEY RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2004
Practice Address - Country:US
Practice Address - Phone:805-229-1092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician