Tindall, Larissa

Tindall, Larissa is an individual health care provider with primary practice located at 8609 W Bryn Mawr Ave Ste 204 , Chicago IL 60631-3524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Eye and Vision Services Providers / Technician/Technologist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tindall, Larissa can be contacted via phone (773) 726-1416.

Contact Information

Primary practice address
8609 W Bryn Mawr Ave Ste 204 Chicago IL 60631-3524
Phone: (773) 726-1416
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1720577232
LBN Legal business name Tindall, Larissa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated Nov 23rd, 2022 - about 4 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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