Tait, Kelly Michelle

Tait, Kelly Michelle is an individual health care provider with primary practice located at 1253 Judge Tyler Dr , Clarksville TN 37043-1423. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tait, Kelly Michelle can be contacted via phone (931) 449-0063.

Contact Information

Primary practice address
1253 Judge Tyler Dr Clarksville TN 37043-1423
Fax: (931) 896-2737
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-18806

Profile Details

NPI number 1396128773
LBN Legal business name Tait, Kelly Michelle
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2015
Last updated Jul 3rd, 2015 - about 11 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.

Request for update

Popular Providers