Walicki, Leslie
Walicki, Leslie is an individual health care provider with primary practice located at 28000 Woodward Ave Ste 100 , Royal Oak MI 48067-0961. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Walicki, Leslie can be contacted via phone (248) 762-5590.Contact Information
Primary practice address
28000 Woodward Ave Ste 100
Royal Oak MI 48067-0961
Phone: (248) 762-5590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1235774092 |
|---|---|
| LBN Legal business name | Walicki, Leslie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2019 |
| Last updated | Nov 15th, 2019 - about 5 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 | 1235774092 | NPPES |
| Michigan | MEDICAID | 1497760086 |
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