Provider / Organization | NPI | Date Certified |
---|---|---|
MICHELLE EVANS | 1831489533 | 2024-04-06 |
Michelle Evans is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831489533. Registration indicates Michelle Evans is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
Entity Type | Individual |
Provider Name | Dr. Michelle Evans PSYD, BCBA |
Practice Office Address | 5005 CANYON CREST DR RIVERSIDE, CA US |
Practice Office Telephone | 7472085510 |
Mailing Address | 377 BLUE DOLPHIN DR PORT HUENEME, CA 930413537 US |
Business Telephone | 8053419214 |
Address | City / State | Phone / Fax |
---|---|---|
3777 Blue Dolphin Dr. | Port Hueneme, CA 93041 | 8053419214 |
Code | Practice | License No State |
---|---|---|
103K00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 0-09-3564
CA |
103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | PSY34964
CA |