Beatty, Michelle Victoria
Beatty, Michelle Victoria is an individual health care provider with primary practice located at 2301 W Bradley Ave , Champaign IL 61821-1849. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Beatty, Michelle Victoria can be contacted via phone (574) 387-4313.Contact Information
Primary practice address
2301 W Bradley Ave
Champaign IL 61821-1849
Phone: (574) 387-4313
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 16-13078 | |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1295223337 |
---|---|
LBN Legal business name | Beatty, Michelle Victoria |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2018 |
Last updated | Mar 25th, 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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