White, Nicole

White, Nicole is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. White, Nicole can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Phone: (616) 527-1790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401000146 Michigan

Profile Details

NPI number 1780174128
LBN Legal business name White, Nicole
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated Oct 10th, 2019 - about 7 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 1780174128 NPPES
Michigan MEDICAID 1715928

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