Michelle Edwards McIntosh
Behavior Technician in Plantation, FL. Individual provider (NPI-1).
NPI number1396257580
StatusActive
Last updated in NPPESOct 29, 2017
Details
- NPI
- 1396257580
- Entity type
- Individual (NPI-1)
- Name
- Michelle Edwards McIntosh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2017
- Last updated
- Oct 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10081 Nw 3rd CtPlantation, FL 33324-7049
Phone 954-236-4631
Mailing address
10081 Nw 3rd CtPlantation, FL 33324-7049
Phone 954-236-4631
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