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
Fax: (678) 742-8553
Website:

Health care specialties

SpecialtyCodeLicense #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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