Evans, Tiera L

Evans, Tiera L is an individual health care provider with primary practice located at 15 E E St , Belleville IL 62220-1226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Evans, Tiera L can be contacted via phone (618) 558-1777.

Contact Information

Primary practice address
15 E E St Belleville IL 62220-1226
Phone: (618) 558-1777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1033872387
LBN Legal business name Evans, Tiera L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2021
Last updated Oct 14th, 2021 - 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.

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