Bradley, Nicole Annette

Bradley, Nicole Annette is an individual health care provider with primary practice located at 50 Donald B Dean Dr Ste B , South Portland ME 04106-3373. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bradley, Nicole Annette can be contacted via phone (207) 274-2528.

Contact Information

Primary practice address
50 Donald B Dean Dr Ste B South Portland ME 04106-3373
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2712338 Maine

Profile Details

NPI number 1700425980
LBN Legal business name Bradley, Nicole Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2020
Last updated Jan 5th, 2020 - 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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