Woods, Tanisha

Woods, Tanisha is an sole proprietor health care provider with primary practice located at 917 Sherwood Dr Ste 201 , Lake Bluff IL 60044-2224. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Woods, Tanisha can be contacted via phone (877) 486-4140.

Contact Information

Primary practice address
917 Sherwood Dr Ste 201 Lake Bluff IL 60044-2224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-21722 Illinois

Profile Details

NPI number 1093179830
LBN Legal business name Woods, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2016
Last updated Jan 9th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093179830 NPPES
Illinois Other 103K00000X AUTISM HOME SUPPORT

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