Lilavois, Tatiana

Lilavois, Tatiana is an individual health care provider with primary practice located at 1765 Sw Captains Pl , Palm City FL 34990-1747. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lilavois, Tatiana can be contacted via phone (772) 266-8727.

Contact Information

Primary practice address
1765 Sw Captains Pl Palm City FL 34990-1747
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 15-05458 Florida

Profile Details

NPI number 1871978387
LBN Legal business name Lilavois, Tatiana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2015
Last updated Aug 11th, 2020 - about 4 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 1871978387 NPPES
Florida MEDICAID 019009600

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