Edouard, Tivynna

Edouard, Tivynna is an sole proprietor health care provider with primary practice located at 525 S 850 E Ste 6 , Lehi UT 84043-3991. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Edouard, Tivynna can be contacted via phone (801) 255-5131.

Contact Information

Primary practice address
525 S 850 E Ste 6 Lehi UT 84043-3991
Fax:
Website:

Health care specialties

Profile Details

NPI number 1942931548
LBN Legal business name Edouard, Tivynna
Credentials BEHAVIOR TECHNICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2022
Last updated Jun 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942931548 NPPES
Other 1104119619 BEHAVIOR TECHNICIAN

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