Kenyon, Nicole Victoria
Kenyon, Nicole Victoria is an sole proprietor health care provider with primary practice located at 602 Se Starflower Ave , Port St Lucie FL 34983-4635. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kenyon, Nicole Victoria can be contacted via phone (973) 934-6356.Contact Information
Primary practice address
602 Se Starflower Ave
Port St Lucie FL 34983-4635
Phone: (973) 934-6356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1194252163 | Florida |
Profile Details
| NPI number | 1013405653 |
|---|---|
| LBN Legal business name | Kenyon, Nicole Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Apr 30th, 2018 - about 8 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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