Machose, Michael P

Machose, Michael P is an sole proprietor health care provider with primary practice located at 10926 S Tryon St Ste E , Charlotte NC 28273-4154. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Machose, Michael P can be contacted via phone (704) 931-8870.

Contact Information

Primary practice address
10926 S Tryon St Ste E Charlotte NC 28273-4154
Phone: (704) 931-8870
Fax: (866) 313-7602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4297 North Carolina
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4297 North Carolina

Profile Details

NPI number 1992074934
LBN Legal business name Machose, Michael P
Credentials BCBA, LPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 14th, 2020 - about 4 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 1992074934 NPPES
North Carolina Other 1487904041 NPPES
North Carolina MEDICAID 6107742 NPPES

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