Michalak, Shelly Elizabeth
Michalak, Shelly Elizabeth is an sole proprietor health care provider with primary practice located at 3044 Nw Mountain Vw Rd , Silverdale WA 98383-7712. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Michalak, Shelly Elizabeth can be contacted via phone (360) 434-0399.Contact Information
Primary practice address
3044 Nw Mountain Vw Rd
Silverdale WA 98383-7712
Phone: (360) 434-0399
Fax: (360) 930-5326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-1005 | |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-1005 | Washington |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-10145 |
Profile Details
NPI number | 1457625048 |
---|---|
LBN Legal business name | Michalak, Shelly Elizabeth |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 29th, 2012 |
Last updated | Mar 20th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457625048 | NPPES |
Washington | Other | 12524589 | CAQH PROVIDER NUMBER |
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