Healthcare Provider Details

I. General information

NPI: 1902056070
Provider Name (Legal Business Name): MICHELE L. SHELDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 ROBBINS CT
SUISUN CITY CA
94585-4140
US

IV. Provider business mailing address

1303 ROBBINS CT
SUISUN CITY CA
94585-4140
US

V. Phone/Fax

Practice location:
  • Phone: 707-492-4879
  • Fax: 925-938-8040
Mailing address:
  • Phone: 707-492-4879
  • Fax: 925-938-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: