Qualls, Tyson
Qualls, Tyson is an individual health care provider with primary practice located at 8801 Folsom Blvd Ste 265 , Sacramento CA 95826-3250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Qualls, Tyson can be contacted via phone (510) 268-8120.Contact Information
Primary practice address
8801 Folsom Blvd Ste 265
Sacramento CA 95826-3250
Phone: (510) 268-8120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1619110095 |
---|---|
LBN Legal business name | Qualls, Tyson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2009 |
Last updated | Jan 22nd, 2019 - about 6 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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