Michaelis, Amy Lyn

Michaelis, Amy Lyn is an sole proprietor health care provider with primary practice located at 6815 Plumpjack Ct , Port Orange FL 32128-4083. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Michaelis, Amy Lyn can be contacted via phone (386) 689-5262.

Contact Information

Primary practice address
6815 Plumpjack Ct Port Orange FL 32128-4083
Phone: (386) 689-5262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1194135954
LBN Legal business name Michaelis, Amy Lyn
Credentials M.ED., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2014
Last updated Oct 2nd, 2019 - about 6 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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