Tanner, Kylie Nichole

Tanner, Kylie Nichole is an individual health care provider with primary practice located at 415 Medical Drive D 101, Bountiful UT 84010. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tanner, Kylie Nichole can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Drive D 101 Bountiful UT 84010
Phone: (801) 683-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1184145732
LBN Legal business name Tanner, Kylie Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Mar 17th, 2018 - 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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