Provider Demographics
NPI:1285803114
Name:MAY, MICHAEL E (PHD, BCBA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:MAY
Suffix:
Gender:M
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 BREEZE ST
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-2358
Mailing Address - Country:US
Mailing Address - Phone:615-400-1303
Mailing Address - Fax:
Practice Address - Street 1:208 BREEZE ST
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-2358
Practice Address - Country:US
Practice Address - Phone:615-400-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities