Tiffany Wisham
Tiffany Wisham is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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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 | 1003561622 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 14, 2022 |
| Last updated in NPPES | September 28, 2025 |
| Certification date | September 28, 2025 |
| Mailing address | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 |
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