Ricketson, Tillman R

Ricketson, Tillman R is an sole proprietor health care provider with primary practice located at 1406 Hays St , Tallahassee FL 32301-2833. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Ricketson, Tillman R can be contacted via phone (850) 521-0242.

Contact Information

Primary practice address
1406 Hays St Tallahassee FL 32301-2833
Phone: (850) 521-0242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-07-2340 Florida

Profile Details

NPI number 1770815441
LBN Legal business name Ricketson, Tillman R
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2010
Last updated Feb 5th, 2010 - about 16 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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