Connor, Tammy-Lee

Connor, Tammy-Lee is an sole proprietor health care provider with primary practice located at 2449 Sw Vardon St , Port St Lucie FL 34953-2445. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Connor, Tammy-Lee can be contacted via phone (772) 453-1458.

Contact Information

Primary practice address
2449 Sw Vardon St Port St Lucie FL 34953-2445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 247200000X Florida

Profile Details

NPI number 1669906525
LBN Legal business name Connor, Tammy-Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - 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 1669906525 NPPES
Florida MEDICAID 247200000X

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