MRS. Tiffany Simone Fagan, LMHC, BCBA is a mental health counselor in Indianapolis, IN. MRS. Tiffany Simone Fagan, LMHC, BCBA NPI is 1912572660. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202-187
Phone: (317) 880-0000
The NPI 1912572660 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 5/25/2021 and was last updated on 11/23/2021.