Healthcare Provider Details

I. General information

NPI: 1801743950
Provider Name (Legal Business Name): MICHELE L FLOWERS ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 SARNO RD
MELBOURNE FL
32935-3084
US

IV. Provider business mailing address

104 S OAK ST APT 2
UKIAH CA
95482-4839
US

V. Phone/Fax

Practice location:
  • Phone: 707-391-5320
  • Fax:
Mailing address:
  • Phone: 797-391-5320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number134499
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: