Provenzano, Melissa

Provenzano, Melissa is an sole proprietor health care provider with primary practice located at 50194 Schoenherr Rd , Shelby Township MI 48315-3136. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Provenzano, Melissa can be contacted via phone (586) 991-6596.

Contact Information

Primary practice address
50194 Schoenherr Rd Shelby Township MI 48315-3136
Phone: (586) 991-6596
Fax: (248) 712-4381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1184292468
LBN Legal business name Provenzano, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2021
Last updated Nov 22nd, 2022 - 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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