Tarver, Jillisa Clobree

Tarver, Jillisa Clobree is an sole proprietor health care provider with primary practice located at 8001 Beaty Grove Dr , Tampa FL 33626-1602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tarver, Jillisa Clobree can be contacted via phone (863) 307-1290.

Contact Information

Primary practice address
8001 Beaty Grove Dr Tampa FL 33626-1602
Phone: (863) 307-1290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-43766

Profile Details

NPI number 1154841153
LBN Legal business name Tarver, Jillisa Clobree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2017
Last updated Sep 21st, 2021 - about 5 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 1154841153 NPPES
Florida MEDICAID 106312600

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