Rodriguez, Nicole M

Rodriguez, Nicole M is an individual health care provider with primary practice located at 444 S 44Th St , Omaha NE 68131-3727. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Rodriguez, Nicole M can be contacted via phone (402) 559-8863.

Contact Information

Primary practice address
444 S 44Th St Omaha NE 68131-3727
Phone: (402) 559-8863
Fax: (402) 559-5737
Website:
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Health care specialties

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

Profile Details

NPI number 1902104417
LBN Legal business name Rodriguez, Nicole M
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 8th, 2011 - about 15 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 1902104417 NPPES
Nebraska MEDICAID 10025287200

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