Costello, Mack S
Costello, Mack S is an sole proprietor health care provider with primary practice located at 3502 Oakland Dr , Kalamazoo MI 49008-2861. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Costello, Mack S can be contacted via phone (352) 328-1349.Contact Information
Primary practice address
3502 Oakland Dr
Kalamazoo MI 49008-2861
Phone: (352) 328-1349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1285078519 |
|---|---|
| LBN Legal business name | Costello, Mack S |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Apr 17th, 2013 - about 13 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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