Tiberg, Elizabeth Rose

Tiberg, Elizabeth Rose is an individual health care provider with primary practice located at 3771 S A St , Richmond IN 47374-6053. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tiberg, Elizabeth Rose can be contacted via phone (765) 598-4197.

Contact Information

Primary practice address
3771 S A St Richmond IN 47374-6053
Phone: (765) 598-4197
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-42623 Indiana

Profile Details

NPI number 1518585678
LBN Legal business name Tiberg, Elizabeth Rose
Credentials MED, BCBA, COBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2020
Last updated Oct 12th, 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 1518585678 NPPES
Other 1-20-42623 BCBA CERTIFICATE

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