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Individual

MICHELLE MICKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2860 E FLAMINGO RD STE K, LAS VEGAS, NV 89121-5270
(702) 318-5005
Mailing address
1001 FAY BLVD, LAS VEGAS, NV 89108-1349
(702) 353-7353

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary
RBT5994
NV
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
07/19/2016
Last updated
07/08/2026
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