Provider Demographics
NPI:1326583394
Name:HARTLEY, SHEILA KATHLEEN (MS)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:KATHLEEN
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:KATHLEEN
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:9965 RISING STAR LN
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49346-9601
Mailing Address - Country:US
Mailing Address - Phone:989-395-2692
Mailing Address - Fax:
Practice Address - Street 1:9965 RISING STAR LN
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:MI
Practice Address - Zip Code:49346-9601
Practice Address - Country:US
Practice Address - Phone:989-395-2692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst