Kooistra-Cass, Elizabeth Tiffany

Kooistra-Cass, Elizabeth Tiffany is an sole proprietor health care provider with primary practice located at 10450 185Th St W , Lakeville MN 55044-6686. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kooistra-Cass, Elizabeth Tiffany can be contacted via phone (612) 509-6686.

Contact Information

Primary practice address
10450 185Th St W Lakeville MN 55044-6686
Phone: (612) 509-6686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1851665236
LBN Legal business name Kooistra-Cass, Elizabeth Tiffany
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Jul 2nd, 2024 - about last year

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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