Carroll, Tanisha Nicole Kini
Carroll, Tanisha Nicole Kini is an individual health care provider with primary practice located at 80 Mossy Oak Ln , Dallas GA 30157-1236. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carroll, Tanisha Nicole Kini can be contacted via phone (678) 794-5578.Contact Information
Primary practice address
80 Mossy Oak Ln
Dallas GA 30157-1236
Phone: (678) 794-5578
Fax: (678) 742-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Georgia |
Profile Details
| NPI number | 1043981962 |
|---|---|
| LBN Legal business name | Carroll, Tanisha Nicole Kini |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2021 |
| Last updated | Sep 21st, 2021 - about 5 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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