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
Phone: (281) 407-1690
Fax: (317) 334-7336
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972021806 | NPPES |
| Colorado | MEDICAID | 1972021806 |
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