Heaton, Nicole

Heaton, Nicole is an individual health care provider with primary practice located at 28 Wildwood Dr , Sound Beach NY 11789-2144. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Heaton, Nicole can be contacted via phone (631) 745-7094.

Contact Information

Primary practice address
28 Wildwood Dr Sound Beach NY 11789-2144
Phone: (631) 745-7094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1619730272
LBN Legal business name Heaton, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2024
Last updated Feb 5th, 2024 - about last year

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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