| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELE BURNSIDE | 1427786763 | 2022-10-05 |
Michele Burnside is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427786763. Registration indicates Michele Burnside 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, ) (Behavioral Health & Social Service Providers, Assistant Behavior Analyst) (Assistant Behavior Analyst, Behavioral Health & Social Service Providers) (Assistant Behavior Analyst, )
| Entity Type | Individual |
| Provider Name | Michele Burnside |
| Practice Office Address | 24681 NORTHWESTERN HWY SOUTHFIELD, MI US |
| Practice Office Telephone | 8333288476 |
| Mailing Address | 159 ASH ST MONTROSE, MI 484577724 US |
| Business Telephone | 8102721379 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 106E00000X | Behavioral Health & Social Service Providers Assistant Behavior Analyst Assistant Behavior Analyst Behavioral Health & Social Service Providers Assistant Behavior Analyst |