Connor, Tammy-Lee
Connor, Tammy-Lee is an sole proprietor health care provider with primary practice located at 2449 Sw Vardon St , Port St Lucie FL 34953-2445. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Connor, Tammy-Lee can be contacted via phone (772) 453-1458.Contact Information
Primary practice address
2449 Sw Vardon St
Port St Lucie FL 34953-2445
Phone: (772) 453-1458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 247200000X | Florida |
Profile Details
| NPI number | 1669906525 |
|---|---|
| LBN Legal business name | Connor, Tammy-Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2017 |
| Last updated | Apr 18th, 2017 - about 9 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 | 1669906525 | NPPES |
| Florida | MEDICAID | 247200000X |
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