Burnside, Michele

Burnside, Michele is an sole proprietor health care provider with primary practice located at 24681 Northwestern Hwy , Southfield MI 48075-2305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Burnside, Michele can be contacted via phone (833) 328-8476.

Contact Information

Primary practice address
24681 Northwestern Hwy Southfield MI 48075-2305
Phone: (833) 328-8476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1427786763
LBN Legal business name Burnside, Michele
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2022
Last updated Oct 5th, 2022 - about 2 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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