Nova, Matthew

Nova, Matthew is an individual health care provider with primary practice located at 124 Capulet Dr , St Augustine FL 32092-4537. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Nova, Matthew can be contacted via phone (904) 429-3859.

Contact Information

Primary practice address
124 Capulet Dr St Augustine FL 32092-4537
Phone: (904) 429-3859
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1811428279
LBN Legal business name Nova, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Mar 27th, 2017 - about 9 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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