Boni, Tina Michelle

Boni, Tina Michelle is an sole proprietor health care provider with primary practice located at 545 Mainstream Dr Ste 110 , Nashville TN 37228-1256. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Boni, Tina Michelle can be contacted via phone (412) 916-8852.

Contact Information

Primary practice address
545 Mainstream Dr Ste 110 Nashville TN 37228-1256
Phone: (412) 916-8852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH001420 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3599 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000004430 Tennessee

Profile Details

NPI number 1881973170
LBN Legal business name Boni, Tina Michelle
Credentials M.A., PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Jan 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881973170 NPPES
Pennsylvania MEDICAID 1007288440027
Pennsylvania Other 328834A336347

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