Clark, Nichole

Clark, Nichole is an individual health care provider with primary practice located at 13300 Hickman Rd Ste 110 , Clive IA 50325-8616. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Nichole can be contacted via phone (515) 987-8835.

Contact Information

Primary practice address
13300 Hickman Rd Ste 110 Clive IA 50325-8616
Phone: (515) 987-8835
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1962923995
LBN Legal business name Clark, Nichole
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Jul 31st, 2017 - about 8 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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