Dewitt, Nicole Joy
Dewitt, Nicole Joy is an individual health care provider with primary practice located at 2505 E Jefferson Blvd , South Bend IN 46615-2635. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Dewitt, Nicole Joy can be contacted via phone (574) 289-4831.Contact Information
Primary practice address
2505 E Jefferson Blvd
South Bend IN 46615-2635
Phone: (574) 289-4831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1063666006 |
|---|---|
| LBN Legal business name | Dewitt, Nicole Joy |
| Credentials | M.A., BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2008 |
| Last updated | Aug 30th, 2010 - about 14 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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