Provider Demographics
NPI:1174242200
Name:HARVEY, MICHELE LYNN (RBT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7282 S BLACKHAWK ST UNIT 102
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4107
Mailing Address - Country:US
Mailing Address - Phone:501-318-3826
Mailing Address - Fax:
Practice Address - Street 1:20971 E SMOKY HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-5187
Practice Address - Country:US
Practice Address - Phone:720-961-8539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician