Dazle, Michelle

Dazle, Michelle is an individual health care provider with primary practice located at 7000 Austin St Ste 200 , Forest Hills NY 11375-4739. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dazle, Michelle can be contacted via phone (718) 762-7633.

Contact Information

Primary practice address
7000 Austin St Ste 200 Forest Hills NY 11375-4739
Phone: (718) 762-7633
Fax: (718) 886-8694
Website:
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Health care specialties

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

Profile Details

NPI number 1144747650
LBN Legal business name Dazle, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 8 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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