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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Popular Providers
-
Dugger, Zachariah Thomas
3320 Tamsin Ave , Kalamazoo MI 49008-4002 -
Hagen, Kristin
5810 W Jefferson Commons Cir Apt 216A, Kalamazoo MI 49009-6101 -
Maciver, Kirsty
6199 Horizon Heights Dr , Kalamazoo MI 49009-9105 -
Rios, Denice
1903 W Michigan Ave Mail Stop 5439 3740 Wood Hall, Kalamazoo MI 49008-5200 -
Korneder, Jessica
3621 Kenbrooke Court , Kalamazoo MI 49006 -
Lichtenberger, Sarah Nicole
4374 Hemmingway Dr , Kalamazoo MI 49009-2471 -
Field, Sean Patrick
1429 Concord Place Dr Apt 1D , Kalamazoo MI 49009-1615 -
Thomas, Elizabeth
5943 Stadium Dr , Kalamazoo MI 49009-3016