Clark, Nicole Janine

Clark, Nicole Janine is an sole proprietor health care provider with primary practice located at 1787 Village Ln N , Wantagh NY 11793-3228. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Nicole Janine can be contacted via phone (516) 809-6866.

Contact Information

Primary practice address
1787 Village Ln N Wantagh NY 11793-3228
Phone: (516) 809-6866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1106362 New York

Profile Details

NPI number 1598165144
LBN Legal business name Clark, Nicole Janine
Credentials MS STUDENTS WITH DIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2014
Last updated Sep 2nd, 2014 - about 12 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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