Qualls, Tyson

Qualls, Tyson is an individual health care provider with primary practice located at 8801 Folsom Blvd Ste 265 , Sacramento CA 95826-3250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Qualls, Tyson can be contacted via phone (510) 268-8120.

Contact Information

Primary practice address
8801 Folsom Blvd Ste 265 Sacramento CA 95826-3250
Phone: (510) 268-8120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619110095
LBN Legal business name Qualls, Tyson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Jan 22nd, 2019 - about 7 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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