Qualls, Nicole

Qualls, Nicole is an individual health care provider with primary practice located at 515 Palm Coast Pkwy Sw Ste 6/7 , Palm Coast FL 32137-4739. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Qualls, Nicole can be contacted via phone (386) 951-3044.

Contact Information

Primary practice address
515 Palm Coast Pkwy Sw Ste 6/7 Palm Coast FL 32137-4739
Phone: (386) 951-3044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-50279 Florida

Profile Details

NPI number 1154802718
LBN Legal business name Qualls, Nicole
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2018
Last updated Jun 3rd, 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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