Kantor, Nicole Marie

Kantor, Nicole Marie is an sole proprietor health care provider with primary practice located at 182 Church St Apt 3 , Newton MA 02458-1962. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Ambulatory Health Care Facilities / Health Service, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Kantor, Nicole Marie can be contacted via phone (413) 281-0999.

Contact Information

Primary practice address
182 Church St Apt 3 Newton MA 02458-1962
Phone: (413) 281-0999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1326587288 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1326587288
LBN Legal business name Kantor, Nicole Marie
Credentials M.ED., G.C.ABA, CAN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Oct 11th, 2020 - about 5 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 1326587288 NPPES
Massachusetts Other 1326587288 NPI

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