Tamayo, Mario Hernan

Tamayo, Mario Hernan is an sole proprietor health care provider with primary practice located at 23502 Lyons Ave. Suite 304A, Valencia CA 91321. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Tamayo, Mario Hernan can be contacted via phone (661) 702-0166.

Contact Information

Primary practice address
23502 Lyons Ave. Suite 304A Valencia CA 91321
Phone: (661) 702-0166
Fax: (661) 702-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-06-2126 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25948 Colorado

Profile Details

NPI number 1134411721
LBN Legal business name Tamayo, Mario Hernan
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2011
Last updated Jul 6th, 2017 - about 8 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 1134411721 NPPES
California Other 0-06-2126 BCABA
California Other 1-17-25948 BCABA

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