Pederson, Nicole

Pederson, Nicole is an sole proprietor health care provider with primary practice located at 1147 Leigh Ave Apt 3, San Jose CA 95126-4533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Pederson, Nicole can be contacted via phone (925) 337-0327.

Contact Information

Primary practice address
1147 Leigh Ave Apt 3 San Jose CA 95126-4533
Phone: (925) 337-0327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538530274
LBN Legal business name Pederson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Sep 29th, 2016 - about 10 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.

Request for update

Popular Providers