| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELANGE LUME | 1104435106 | 2022-11-23 |
Michelange Lume is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104435106. Registration indicates Michelange Lume is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Michelange Lume |
| Practice Office Address | 137 PINEWOOD CIR KISSIMMEE, FL US |
| Practice Office Telephone | 4079222149 |
| Mailing Address | 137 PINEWOOD CIR KISSIMMEE, FL 347437928 US |
| Business Telephone | 4079222149 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-20-130291
FL |