Walcott, Tasha Jashodra

Walcott, Tasha Jashodra is an sole proprietor health care provider with primary practice located at 13349 114Th St , South Ozone Park NY 11420-3107. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Walcott, Tasha Jashodra can be contacted via phone (347) 503-9456.

Contact Information

Primary practice address
13349 114Th St South Ozone Park NY 11420-3107
Fax:
Website:

Health care specialties

Profile Details

NPI number 1790153013
LBN Legal business name Walcott, Tasha Jashodra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2015
Last updated Sep 2nd, 2015 - about 10 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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