Tomak, Michael

Tomak, Michael is an individual health care provider with primary practice located at 23200 Red Arrow Hwy , Mattawan MI 49071-7774. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Tomak, Michael can be contacted via phone (269) 355-6621.

Contact Information

Primary practice address
23200 Red Arrow Hwy Mattawan MI 49071-7774
Phone: (269) 355-6621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401000344 Michigan

Profile Details

NPI number 1588195739
LBN Legal business name Tomak, Michael
Credentials PHD, BCBA-D, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Jul 24th, 2023 - about last year

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 1588195739 NPPES
Michigan Other 7401000344 BEHAVIOR ANALYST LICENSE
Michigan Other 1-17-26425 BEHAVIOR ANALYST LICENSE

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