Coleman, Taylor Renee
Coleman, Taylor Renee is an individual health care provider with primary practice located at 251 W 84Th Dr , Merrillville IN 46410-6243. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Coleman, Taylor Renee can be contacted via phone (219) 205-3463.Contact Information
Primary practice address
251 W 84Th Dr
Merrillville IN 46410-6243
Phone: (219) 205-3463
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-55759 |
Profile Details
| NPI number | 1831650068 |
|---|---|
| LBN Legal business name | Coleman, Taylor Renee |
| Credentials | MED, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831650068 | NPPES |
| Other | 1-21-55759 | BACB CERTIFICATE |
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