Mr Tyson Qualls, is a
Behavior Analyst based in Sacramento, California. Mr Tyson Qualls is licensed to practice in * (Not Available) (license number ) and his current practice location is
8801 Folsom Blvd Ste 265, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at
(510) 268-8120.
NPI number for Mr Tyson Qualls is 1619110095 and his current mailing address is 8801 Folsom Blvd Ste 265, Sacramento, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619110095.
Healthcare Provider's Profile
| Full Name | Mr Tyson Qualls |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 8801 Folsom Blvd Ste 265, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619110095
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 01/22/2019
Medical Identifiers
Medical identifiers for Mr Tyson Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619110095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tyson Qualls is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Tyson Qualls,
8801 Folsom Blvd Ste 265,
Sacramento, CA 95826-3250
Ph: () - | Mr Tyson Qualls,
8801 Folsom Blvd Ste 265,
Sacramento, CA 95826-3250
Ph: (510) 268-8120 |
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