Tyson, Kerrianna Caitlyn
Tyson, Kerrianna Caitlyn is an sole proprietor health care provider with primary practice located at 1887 Se Port St Lucie Blvd , Port Saint Lucie FL 34952-5530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tyson, Kerrianna Caitlyn can be contacted via phone (722) 463-0444.Contact Information
Primary practice address
1887 Se Port St Lucie Blvd
Port Saint Lucie FL 34952-5530
Phone: (722) 463-0444
Fax: (772) 219-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1881311363 |
|---|---|
| LBN Legal business name | Tyson, Kerrianna Caitlyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2022 |
| Last updated | Apr 4th, 2024 - about 2 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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