Individual
MICHELLE NICOLE GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29091
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14259227
CAQH
—
Enumeration date
05/15/2018
Last updated
07/27/2022
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