Provider Demographics
NPI:1285356113
Name:JOPLIN, TIFFINI RENEE (RBT)
Entity type:Individual
Prefix:
First Name:TIFFINI
Middle Name:RENEE
Last Name:JOPLIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 ALPHA RD APT 323
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4363
Mailing Address - Country:US
Mailing Address - Phone:734-329-3279
Mailing Address - Fax:
Practice Address - Street 1:5301 ALPHA RD APT 323
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4363
Practice Address - Country:US
Practice Address - Phone:469-609-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COBACB671275106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician