Tidwell, Amy

Tidwell, Amy is an individual health care provider with primary practice located at 5620 Birdcage St Ste 230 , Citrus Heights CA 95610. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tidwell, Amy can be contacted via phone (916) 298-6874.

Contact Information

Primary practice address
5620 Birdcage St Ste 230 Citrus Heights CA 95610
Phone: (916) 298-6874
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1912415969
LBN Legal business name Tidwell, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated May 25th, 2018 - about 7 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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