| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELLE VINOKUROV | 1811568595 | 2021-07-12 |
Michelle Vinokurov is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811568595. Registration indicates Michelle Vinokurov 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 | Michelle Vinokurov |
| Practice Office Address | 8001 BEATY GROVE DR TAMPA, FL US |
| Practice Office Telephone | 8139265454 |
| Mailing Address | 11230 RANCH CREEK TER APT 401 BRADENTON, FL 342114030 US |
| Business Telephone | 7328222331 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 193400000X SING | Group Code |