Gaskin, Tyisha

Gaskin, Tyisha is an individual health care provider with primary practice located at 104-70 Queens Boulevard Suite 200, Forest Hills NY 11375. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Gaskin, Tyisha can be contacted via phone (718) 275-6010.

Contact Information

Primary practice address
104-70 Queens Boulevard Suite 200 Forest Hills NY 11375
Phone: (718) 275-6010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1508393315
LBN Legal business name Gaskin, Tyisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Jun 19th, 2020 - 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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