Individual
SEAN MICHAEL MICHALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT-18-52198
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
11397 MAIN RD, FENTON, MI 48430-9747
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017805
MI
106S00000X
Behavior Technician
18-52198
MI
Other
Enumeration date
04/02/2018
Last updated
11/14/2019
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