Mijares, Tara Gene

Mijares, Tara Gene is an sole proprietor health care provider with primary practice located at 28245 Avenue Crocker Ste 220 , Valencia CA 91355-1201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Mijares, Tara Gene can be contacted via phone (661) 425-4561.

Contact Information

Primary practice address
28245 Avenue Crocker Ste 220 Valencia CA 91355-1201
Phone: (661) 425-4561
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10151
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 36341 California

Profile Details

NPI number 1871868513
LBN Legal business name Mijares, Tara Gene
Credentials MA,BCBA,MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2012
Last updated Dec 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871868513 NPPES
Other 1-12-10151 BCBA BOARD CERTIFICATION
Other 36341 BCBA BOARD CERTIFICATION

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