Wilkerson, Tyaysha

Wilkerson, Tyaysha is an individual health care provider with primary practice located at 14119 Bucher Ave , Sylmar CA 91342-1442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Wilkerson, Tyaysha can be contacted via phone (310) 221-6336.

Contact Information

Primary practice address
14119 Bucher Ave Sylmar CA 91342-1442
Phone: (310) 221-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1053880062
LBN Legal business name Wilkerson, Tyaysha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Aug 17th, 2023 - about 3 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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