Willis, Trista
Willis, Trista is an individual health care provider with primary practice located at 7203 Perry Ct E , Brooklyn Center MN 55429-1202. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Willis, Trista can be contacted via phone (612) 540-0643.Contact Information
Primary practice address
7203 Perry Ct E
Brooklyn Center MN 55429-1202
Phone: (612) 540-0643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-24-72437 | Minnesota |
Profile Details
| NPI number | 1225873904 |
|---|---|
| LBN Legal business name | Willis, Trista |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2024 |
| Last updated | Jun 26th, 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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