Fields, Nicole

Fields, Nicole is an individual health care provider with primary practice located at 719 Spencer St , Logansport IN 46947-3583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fields, Nicole can be contacted via phone (765) 210-1284.

Contact Information

Primary practice address
719 Spencer St Logansport IN 46947-3583
Phone: (765) 210-1284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Indiana

Profile Details

NPI number 1528781754
LBN Legal business name Fields, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 4 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 1528781754 NPPES
Other 618712 BEHAVIORAL ANALYST CERTIFICATION BOARD

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