Brady, Tiana Marie

Brady, Tiana Marie is an individual health care provider with primary practice located at 900 27Th Ave , Vero Beach FL 32960-4011. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Brady, Tiana Marie can be contacted via phone (772) 696-6093.

Contact Information

Primary practice address
900 27Th Ave Vero Beach FL 32960-4011
Phone: (772) 696-6093
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 111617000 Florida

Profile Details

NPI number 1144973835
LBN Legal business name Brady, Tiana Marie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 4 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 1144973835 NPPES
Florida MEDICAID 111617000

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