Alley, Tavia Renee

Alley, Tavia Renee is an individual health care provider with primary practice located at 21613 Rhodes Rd , Spring TX 77388-3026. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Alley, Tavia Renee can be contacted via phone (281) 407-1690.

Contact Information

Primary practice address
21613 Rhodes Rd Spring TX 77388-3026
Fax: (317) 334-7336
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-30210 Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-37085 Colorado

Profile Details

NPI number 1972021806
LBN Legal business name Alley, Tavia Renee
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2017
Last updated Nov 26th, 2019 - about 7 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 1972021806 NPPES
Colorado MEDICAID 1972021806

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