Minard, Nicole Mclean

Minard, Nicole Mclean is an sole proprietor health care provider with primary practice located at 1284 Devin Oaks Ct , Lakeland FL 33811-2383. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Minard, Nicole Mclean can be contacted via phone (863) 602-0698.

Contact Information

Primary practice address
1284 Devin Oaks Ct Lakeland FL 33811-2383
Phone: (863) 602-0698
Fax: (813) 354-2715
Website:
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Health care specialties

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

Profile Details

NPI number 1568766525
LBN Legal business name Minard, Nicole Mclean
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2011
Last updated Jul 19th, 2021 - about 5 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 1568766525 NPPES
Florida MEDICAID 018166700

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