Provider Demographics
NPI:1306625199
Name:MICHEL, MARIE NATACHA (RBT)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:NATACHA
Last Name:MICHEL
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 1:1613 AMERICAN BEECH PKWY
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-8531
Mailing Address - Country:US
Mailing Address - Phone:407-369-2421
Mailing Address - Fax:
Practice Address - Street 1:1613 AMERICAN BEECH PKWY
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-8531
Practice Address - Country:US
Practice Address - Phone:407-369-2421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-295105106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician