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Search › Florida › Behavior Technician

Tiffany Wisham

NPI 1003561622 · on the registry since 2022

Practice

Address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258
Phone
(855) 832-6727
Organisation at this address
Camelia Kelly
Ganim Md Pllc
Smiley Berry Llc
Paragon Wound Care
1st Choice Venicare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
201

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Female
Record last updated
2025-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida