Tindall, Larissa
Tindall, Larissa is an individual health care provider with primary practice located at 8609 W Bryn Mawr Ave Ste 204 , Chicago IL 60631-3524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Eye and Vision Services Providers / Technician/Technologist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tindall, Larissa can be contacted via phone (773) 726-1416.Contact Information
Primary practice address
8609 W Bryn Mawr Ave Ste 204
Chicago IL 60631-3524
Phone: (773) 726-1416
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Michigan | |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
NPI number | 1720577232 |
---|---|
LBN Legal business name | Tindall, Larissa |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2018 |
Last updated | Nov 23rd, 2022 - 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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