Dickel, Tessa

Dickel, Tessa is an individual health care provider with primary practice located at 902 W Lumsden Rd Ste 105 , Brandon FL 33511-8806. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dickel, Tessa can be contacted via phone (813) 324-7538.

Contact Information

Primary practice address
902 W Lumsden Rd Ste 105 Brandon FL 33511-8806
Phone: (813) 324-7538
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1184152191
LBN Legal business name Dickel, Tessa
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2017
Last updated Sep 18th, 2023 - about 2 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 1184152191 NPPES
Florida MEDICAID 101736700

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