Badillo, Mya Marie

Badillo, Mya Marie is an individual health care provider with primary practice located at 3733 Fox Tail Trl Nw , Prior Lake MN 55372-1698. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Badillo, Mya Marie can be contacted via phone (612) 438-9204.

Contact Information

Primary practice address
3733 Fox Tail Trl Nw Prior Lake MN 55372-1698
Phone: (612) 438-9204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1104660489
LBN Legal business name Badillo, Mya Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2024
Last updated Jun 21st, 2024 - about 5 months 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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