Coleman, Cyara Lanette

Coleman, Cyara Lanette is an individual health care provider with primary practice located at 634 N Main St Ste 4 , O Fallon IL 62269-3746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Coleman, Cyara Lanette can be contacted via phone (314) 584-9912.

Contact Information

Primary practice address
634 N Main St Ste 4 O Fallon IL 62269-3746
Fax:
Website:

Health care specialties

Profile Details

NPI number 1740796671
LBN Legal business name Coleman, Cyara Lanette
Credentials ED.S, MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Nov 7th, 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 1740796671 NPPES
Illinois Other RBT-15-06946 RBT
Illinois Other 61219373 RBT
Illinois Other 1-21-51903 RBT
Illinois Other BACB312357 RBT

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