Healthcare Provider Details

I. General information

NPI: 1235062274
Provider Name (Legal Business Name): MESHAYLA SINGLETON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3762 N 39TH ST
MILWAUKEE WI
53216-3068
US

IV. Provider business mailing address

3762 N 39TH ST
MILWAUKEE WI
53216-3068
US

V. Phone/Fax

Practice location:
  • Phone: 414-292-5030
  • Fax:
Mailing address:
  • Phone: 414-292-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: