Michalak, Shelly Elizabeth

Michalak, Shelly Elizabeth is an sole proprietor health care provider with primary practice located at 3044 Nw Mountain Vw Rd , Silverdale WA 98383-7712. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Michalak, Shelly Elizabeth can be contacted via phone (360) 434-0399.

Contact Information

Primary practice address
3044 Nw Mountain Vw Rd Silverdale WA 98383-7712
Phone: (360) 434-0399
Fax: (360) 930-5326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-1005
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-1005 Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10145

Profile Details

NPI number 1457625048
LBN Legal business name Michalak, Shelly Elizabeth
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2012
Last updated Mar 20th, 2014 - about 12 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 1457625048 NPPES
Washington Other 12524589 CAQH PROVIDER NUMBER

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