Tiffany Statham
Tiffany Statham is a Behavior Technician in Pocatello, Idaho. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
737 W Whitman StPocatello, ID 83204-4203
Phone: (208) 241-6456
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1689553075 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2025 |
| Last updated in NPPES | September 2, 2025 |
| Certification date | September 2, 2025 |
| Mailing address | 737 W Whitman St, Pocatello, ID 83204-4203 |
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