Carr, Nikole Ann

Carr, Nikole Ann is an individual health care provider with primary practice located at 67 Hiker St , Santa Rosa Beach FL 32459-8826. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carr, Nikole Ann can be contacted via phone (850) 299-4862.

Contact Information

Primary practice address
67 Hiker St Santa Rosa Beach FL 32459-8826
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-164387 Florida

Profile Details

NPI number 1093380529
LBN Legal business name Carr, Nikole Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 4 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 1093380529 NPPES
Florida MEDICAID 110223100

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