Burgess, Tia E

Burgess, Tia E is an individual health care provider with primary practice located at 6729 Myrtle Ave , Glendale NY 11385-7063. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Burgess, Tia E can be contacted via phone (187) 456-7001.

Contact Information

Primary practice address
6729 Myrtle Ave Glendale NY 11385-7063
Phone: (187) 456-7001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 119651 New York

Profile Details

NPI number 1588141469
LBN Legal business name Burgess, Tia E
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated May 24th, 2023 - about 3 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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