Smith, Tanisha

Smith, Tanisha is an sole proprietor health care provider with primary practice located at 14620 Faust Ave , Detroit MI 48223. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Tanisha can be contacted via phone (313) 231-5323.

Contact Information

Primary practice address
14620 Faust Ave Detroit MI 48223
Phone: (313) 231-5323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Michigan

Profile Details

NPI number 1740726488
LBN Legal business name Smith, Tanisha
Credentials MA, TLLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2017
Last updated Jan 18th, 2017 - about 9 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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