Nichols, Jenissa

Nichols, Jenissa is an individual health care provider with primary practice located at 1140 W 1130 S Suite B , Orem UT 84058. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Nichols, Jenissa can be contacted via phone (801) 935-4171.

Contact Information

Primary practice address
1140 W 1130 S Suite B Orem UT 84058
Phone: (801) 935-4171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-27668 Utah

Profile Details

NPI number 1407259005
LBN Legal business name Nichols, Jenissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2014
Last updated Feb 21st, 2020 - about 6 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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