Healthcare Provider Details

I. General information

NPI: 1285511386
Provider Name (Legal Business Name): MICHELLE ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PERIMETER RD
NASHUA NH
03063-1301
US

IV. Provider business mailing address

6 TALL PINE CIR
NASHUA NH
03062-2214
US

V. Phone/Fax

Practice location:
  • Phone: 646-508-0016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB812702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: