Tellez, Sebastian
Tellez, Sebastian is an sole proprietor health care provider with primary practice located at 1312 17Th St Ste 146 , Denver CO 80202-1508. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Tellez, Sebastian can be contacted via phone (303) 997-0305.Contact Information
Primary practice address
1312 17Th St Ste 146
Denver CO 80202-1508
Phone: (303) 997-0305
Fax: (720) 746-4998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-17-38021 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 351041 | Colorado |
Profile Details
| NPI number | 1558722116 |
|---|---|
| LBN Legal business name | Tellez, Sebastian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2016 |
| Last updated | Dec 10th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558722116 | NPPES |
| Colorado | MEDICAID | 9000145075 |
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