Burnett, Nicole

Burnett, Nicole is an individual health care provider with primary practice located at 851 Se Pioneer Way Ste 201 , Oak Harbor WA 98277-5789. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Burnett, Nicole can be contacted via phone (360) 333-5684.

Contact Information

Primary practice address
851 Se Pioneer Way Ste 201 Oak Harbor WA 98277-5789
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1881331163
LBN Legal business name Burnett, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2022
Last updated May 17th, 2022 - about 3 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 1881331163 NPPES
Washington MEDICAID 2041449

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