Tiffany Widjaja
Tiffany Widjaja is a Behavior Technician in Riverside, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
11801 Pierce St Ste 200Riverside, CA 92505-4400
Phone: (949) 281-8725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1144002783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 18, 2023 |
| Last updated in NPPES | October 18, 2023 |
| Certification date | October 18, 2023 |
| Mailing address | 26890 Sugarite Canyon Dr, Moreno Valley, CA 92555-9102 |
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