Liddell, Michelle

Liddell, Michelle is an individual health care provider with primary practice located at 970 Calle Amanecer Ste A , San Clemente CA 92673-6250. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Liddell, Michelle can be contacted via phone (949) 498-5100.

Contact Information

Primary practice address
970 Calle Amanecer Ste A San Clemente CA 92673-6250
Phone: (949) 498-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-44884 California

Profile Details

NPI number 1851808745
LBN Legal business name Liddell, Michelle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2018
Last updated Oct 15th, 2020 - about 5 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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