Derosia, Kaya Tala

Derosia, Kaya Tala is an individual health care provider with primary practice located at 24681 Northwestern Hwy Ste 2006 , Southfield MI 48075-2305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Derosia, Kaya Tala can be contacted via phone (770) 373-5822.

Contact Information

Primary practice address
24681 Northwestern Hwy Ste 2006 Southfield MI 48075-2305
Phone: (770) 373-5822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205405651
LBN Legal business name Derosia, Kaya Tala
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Nov 8th, 2022 - 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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