Provider Demographics
NPI:1992046882
Name:STIFF, HILARY JEAN (MED, BCBA)
Entity type:Individual
Prefix:MS
First Name:HILARY
Middle Name:JEAN
Last Name:STIFF
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 GOBER RD
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:GA
Mailing Address - Zip Code:30621-1765
Mailing Address - Country:US
Mailing Address - Phone:706-540-8307
Mailing Address - Fax:
Practice Address - Street 1:2401 GOBER RD
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:GA
Practice Address - Zip Code:30621-1765
Practice Address - Country:US
Practice Address - Phone:706-540-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-03
Last Update Date:2013-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst