Moore, Tyanna

Moore, Tyanna is an sole proprietor health care provider with primary practice located at 28074 Glasgow St , Southfield MI 48076-2904. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moore, Tyanna can be contacted via phone (248) 497-1159.

Contact Information

Primary practice address
28074 Glasgow St Southfield MI 48076-2904
Phone: (248) 497-1159
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 3005 Texas

Profile Details

NPI number 1093199531
LBN Legal business name Moore, Tyanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2015
Last updated Jun 8th, 2021 - 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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