Fardon, Nicolette P
Fardon, Nicolette P is an sole proprietor health care provider with primary practice located at 113 Salem Turnpike Unit 200 , Norwich CT 06360. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fardon, Nicolette P can be contacted via phone (860) 941-7008.Contact Information
Primary practice address
113 Salem Turnpike Unit 200
Norwich CT 06360
Phone: (860) 941-7008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-23-280740 | Massachusetts |
Profile Details
| NPI number | 1760224414 |
|---|---|
| LBN Legal business name | Fardon, Nicolette P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2024 |
| Last updated | Jun 17th, 2024 - about 2 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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