Averill, Nicholas

Averill, Nicholas is an individual health care provider with primary practice located at 2740 Saint Andrews Dr , Murfreesboro TN 37128-6684. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Averill, Nicholas can be contacted via phone (615) 632-2003.

Contact Information

Primary practice address
2740 Saint Andrews Dr Murfreesboro TN 37128-6684
Phone: (615) 632-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 580 Tennessee

Profile Details

NPI number 1922656263
LBN Legal business name Averill, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2019
Last updated Mar 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922656263 NPPES
Tennessee MEDICAID Q055678

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