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
Fax:
Website:

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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