Fuller, Tyler

Fuller, Tyler is an individual health care provider with primary practice located at 100 Saint Judes St , Boulder City NV 89005-1614. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Fuller, Tyler can be contacted via phone (702) 294-7100.

Contact Information

Primary practice address
100 Saint Judes St Boulder City NV 89005-1614
Phone: (702) 294-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1881973188
LBN Legal business name Fuller, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 2011 - about 15 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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