TIFFANY WIDJAJA

Behavior Technician

Active Individual
NPI: 1144002783

Practice Address

11801 PIERCE ST STE 200
Riverside, CA 92505

Phone: (949) 281-8725

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1144002783 is the National Provider Identifier for TIFFANY WIDJAJA, a Behavior Technician provider located in Riverside, CA. This NPI was enumerated on October 18, 2023.
TIFFANY WIDJAJA practices at 11801 PIERCE ST STE 200, Riverside, CA 92505.

Quick Facts

NPI
1144002783
Type
Individual
Enumerated
Oct 18, 2023
Last Updated
Oct 18, 2023

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