Costello, Mack S

Costello, Mack S is an sole proprietor health care provider with primary practice located at 3502 Oakland Dr , Kalamazoo MI 49008-2861. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Costello, Mack S can be contacted via phone (352) 328-1349.

Contact Information

Primary practice address
3502 Oakland Dr Kalamazoo MI 49008-2861
Phone: (352) 328-1349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1285078519
LBN Legal business name Costello, Mack S
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - about 11 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.

Request for update

Popular Providers