Lackey, Mikayla Jacquelyn
Lackey, Mikayla Jacquelyn is an sole proprietor health care provider with primary practice located at 3076 N Five Mile Rd , Boise ID 83713-5215. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lackey, Mikayla Jacquelyn can be contacted via phone (208) 252-6531.Contact Information
Primary practice address
3076 N Five Mile Rd
Boise ID 83713-5215
Phone: (208) 252-6531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1578262184 |
|---|---|
| LBN Legal business name | Lackey, Mikayla Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2023 |
| Last updated | Mar 2nd, 2023 - 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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