Tyson, Antorria Dion

Tyson, Antorria Dion is an individual health care provider with primary practice located at 1239 Woodland Dr Ste 112 , Elizabethtown KY 42701-3723. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tyson, Antorria Dion can be contacted via phone (502) 358-5106.

Contact Information

Primary practice address
1239 Woodland Dr Ste 112 Elizabethtown KY 42701-3723
Phone: (502) 358-5106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1629538582
LBN Legal business name Tyson, Antorria Dion
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Mar 25th, 2019 - 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.

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