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Tiffany Lillian Kellems, CDA
Day Training/Habilitation Specialist in Ash Flat, Arkansas
NPI 1326311234

Tiffany Lillian Kellems is a Day Training/Habilitation Specialist based in Ash Flat, AR. Tiffany Lillian Kellems practices in Ash Flat, AR and has the professional credentials of CDA. The NPI Number for Tiffany Lillian Kellems is 1326311234 and holds a License No. (Arkansas).

The current practice location address for Tiffany Lillian Kellems is 47 Agnos Rd, Ash Flat, AR and can be reached out via phone at 870-994-3103. You can also correspond with Tiffany Lillian Kellems through the mailing address at 47 AGNOS RD, ASH FLAT, AR - 72513-9778 (mailing address contact number: 870-994-3103).

Location: 47 Agnos Rd, Ash Flat, AR, 72513-9778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326311234
Provider Name
Tiffany Lillian Kellems
Credential
CDA
Provider Entity Type
Individual
Gender
Female
Address
47 Agnos Rd, Ash Flat, AR, 72513-9778
Phone Number
870-994-3103
Fax Number
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47 Agnos Rd
City
Ash Flat
State
Arkansas
Zip
72513-9778
Phone Number
870-994-3103
Fax Number
person
Provider Business Mailing Address Details
Address
47 Agnos Rd
City
Ash Flat
State
Arkansas
Zip
72513-9778
Phone Number
870-994-3103
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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