Johnson-Callaghan, Alysha Nicole

Johnson-Callaghan, Alysha Nicole is an individual health care provider with primary practice located at 16925 Ability Way , Grand Haven MI 49417-9325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson-Callaghan, Alysha Nicole can be contacted via phone (616) 935-7606.

Contact Information

Primary practice address
16925 Ability Way Grand Haven MI 49417-9325
Phone: (616) 935-7606
Fax: (616) 935-7607
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1114672375
LBN Legal business name Johnson-Callaghan, Alysha Nicole
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2022
Last updated Feb 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114672375 NPPES
Michigan Other 1942689708 THE SHORELINE CENTER, LLC

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