Mackeller, Nicole Michelle

Mackeller, Nicole Michelle is an individual health care provider with primary practice located at 1619 Collins Rd Nw Ste 500 , Kennesaw GA 30152-8237. 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. Mackeller, Nicole Michelle can be contacted via phone (043) 047-0531.

Contact Information

Primary practice address
1619 Collins Rd Nw Ste 500 Kennesaw GA 30152-8237
Phone: (043) 047-0531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1588332720
LBN Legal business name Mackeller, Nicole Michelle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Jun 10th, 2024 - about 2 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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