Tisdale, Emily

Tisdale, Emily is an individual health care provider with primary practice located at 13815 Devan Lee Dr E , Jacksonville FL 32226-5868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Tisdale, Emily can be contacted via phone (904) 613-5005.

Contact Information

Primary practice address
13815 Devan Lee Dr E Jacksonville FL 32226-5868
Phone: (904) 613-5005
Fax: (904) 696-9868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-56676 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1275987497
LBN Legal business name Tisdale, Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2016
Last updated Oct 3rd, 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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