Hermann, Michelle

Hermann, Michelle is an individual health care provider with primary practice located at 823 Dunlawton Ave , Port Orange FL 32127-4220. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hermann, Michelle can be contacted via phone (352) 332-8588.

Contact Information

Primary practice address
823 Dunlawton Ave Port Orange FL 32127-4220
Phone: (352) 332-8588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1457830721
LBN Legal business name Hermann, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2018
Last updated Aug 8th, 2018 - about 8 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 1457830721 NPPES
Florida MEDICAID S

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