Provider Demographics
NPI:1568783421
Name:MICHALEWICZ, LINDSAY RICE (MA BCBA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RICE
Last Name:MICHALEWICZ
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25960 S CASTLE GATE DR
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-8685
Mailing Address - Country:US
Mailing Address - Phone:708-271-3478
Mailing Address - Fax:708-746-5019
Practice Address - Street 1:25960 S CASTLE GATE DR
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-8685
Practice Address - Country:US
Practice Address - Phone:708-271-3478
Practice Address - Fax:708-746-5019
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst