Coburn, Mikki B

Coburn, Mikki B is an individual health care provider with primary practice located at 160 Plainfield Village Drive, Suite 101 Null, Plainfield IN 46168-2782. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Coburn, Mikki B can be contacted via phone (463) 888-0118.

Contact Information

Primary practice address
160 Plainfield Village Drive, Suite 101 Null Plainfield IN 46168-2782
Phone: (463) 888-0118
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-43590 Indiana

Profile Details

NPI number 1447861497
LBN Legal business name Coburn, Mikki B
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2020
Last updated Aug 13th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447861497 NPPES
Indiana Other 1-20-43590 BACB CERTIFICATION

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