Brantley, Michelle L
Brantley, Michelle L is an individual health care provider with primary practice located at 1000 Colour Pl Ste 101 , Apopka FL 32703-7753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Brantley, Michelle L can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
1000 Colour Pl Ste 101
Apopka FL 32703-7753
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Florida | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-51140 |
Profile Details
| NPI number | 1447768981 |
|---|---|
| LBN Legal business name | Brantley, Michelle L |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2018 |
| Last updated | Jul 26th, 2021 - 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 | 1447768981 | NPPES |
| Florida | MEDICAID | 023013900 |
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