Cordell, Timothy

Cordell, Timothy is an individual health care provider with primary practice located at 4127 Canton St , Detroit MI 48207-1918. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Cordell, Timothy can be contacted via phone (248) 812-6809.

Contact Information

Primary practice address
4127 Canton St Detroit MI 48207-1918
Phone: (248) 812-6809
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133003665 Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401002470 Michigan

Profile Details

NPI number 1588104442
LBN Legal business name Cordell, Timothy
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2017
Last updated Jun 11th, 2024 - about 2 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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