Ly, Tia

Ly, Tia is an sole proprietor health care provider with primary practice located at 6836 Isaac'S Orchard Rd , Springdale AR 72762-7096. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Ly, Tia can be contacted via phone (479) 927-4100.

Contact Information

Primary practice address
6836 Isaac'S Orchard Rd Springdale AR 72762-7096
Phone: (479) 927-4100
Fax: (479) 927-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-30730 Arkansas

Profile Details

NPI number 1144595422
LBN Legal business name Ly, Tia
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2012
Last updated Jun 28th, 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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