Kelly, Tydarian Roshawn
Kelly, Tydarian Roshawn is an sole proprietor health care provider with primary practice located at 852 Perry Rd , Apex NC 27502-7701. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kelly, Tydarian Roshawn can be contacted via phone (919) 446-5670.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1346815230 |
|---|---|
| LBN Legal business name | Kelly, Tydarian Roshawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2021 |
| Last updated | May 24th, 2021 - about 5 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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