MEDICARE: MICHELLE ISAYEVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	P139777	NY

General Provider Information

NPI Number	:	1598616237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ISAYEVA

Provider Business Mailing Address
First Line	:	2825 W 12TH ST APT 2L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 W 12TH ST APT 2L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3103
Country	:	US
Telephone Number	:	347-502-5550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ MICHELLE ISAYEVA ” Practice Location

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