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
Phone: (314) 584-9912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-15-06946 | Illinois |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-51903 |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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