Crilly, Timothy

Crilly, Timothy is an sole proprietor health care provider with primary practice located at 3731 6Th Ave Ste 100 , San Diego CA 92103-4383. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Crilly, Timothy can be contacted via phone (619) 278-0884.

Contact Information

Primary practice address
3731 6Th Ave Ste 100 San Diego CA 92103-4383
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA 1-11-8663 California

Profile Details

NPI number 1619211398
LBN Legal business name Crilly, Timothy
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 21st, 2012 - about 14 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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