Collins, Ladaisha Tanae

Collins, Ladaisha Tanae is an individual health care provider with primary practice located at 19195 Us Highway 18 Ste 104 , Apple Valley CA 92307-2562. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Collins, Ladaisha Tanae can be contacted via phone (888) 557-1305.

Contact Information

Primary practice address
19195 Us Highway 18 Ste 104 Apple Valley CA 92307-2562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-83085 Texas

Profile Details

NPI number 1043855224
LBN Legal business name Collins, Ladaisha Tanae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 5 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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