Mijares, Tara Gene
Mijares, Tara Gene is an sole proprietor health care provider with primary practice located at 28245 Avenue Crocker Ste 220 , Valencia CA 91355-1201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Mijares, Tara Gene can be contacted via phone (661) 425-4561.Contact Information
Primary practice address
28245 Avenue Crocker Ste 220
Valencia CA 91355-1201
Phone: (661) 425-4561
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-10151 | |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 36341 | California |
Profile Details
NPI number | 1871868513 |
---|---|
LBN Legal business name | Mijares, Tara Gene |
Credentials | MA,BCBA,MS, CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 13th, 2012 |
Last updated | Dec 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871868513 | NPPES |
Other | 1-12-10151 | BCBA BOARD CERTIFICATION | |
Other | 36341 | BCBA BOARD CERTIFICATION |
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