Arevalo, Nicole Andrea

Arevalo, Nicole Andrea is an individual health care provider with primary practice located at 2526 Bush Ave , Richmond CA 94806-4530. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Arevalo, Nicole Andrea can be contacted via phone (510) 776-2038.

Contact Information

Primary practice address
2526 Bush Ave Richmond CA 94806-4530
Phone: (510) 776-2038
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1356836985
LBN Legal business name Arevalo, Nicole Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Jun 26th, 2018 - about 6 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 1356836985 NPPES
California Other XDJ93390961D BLUE CROSS

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