Wilridge, Tiazjanae

Wilridge, Tiazjanae is an individual health care provider with primary practice located at 7697 Madison Ave , Citrus Heights CA 95610-7516. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Wilridge, Tiazjanae can be contacted via phone (916) 730-9740.

Contact Information

Primary practice address
7697 Madison Ave Citrus Heights CA 95610-7516
Phone: (916) 730-9740
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1093286940
LBN Legal business name Wilridge, Tiazjanae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Jun 2nd, 2025 - about last year

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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