Land, Nicole Lee

Land, Nicole Lee is an sole proprietor health care provider with primary practice located at 6100 Veterans Pkwy Ste 11 , Columbus GA 31909-3514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Land, Nicole Lee can be contacted via phone (706) 221-8966.

Contact Information

Primary practice address
6100 Veterans Pkwy Ste 11 Columbus GA 31909-3514
Phone: (706) 221-8966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 16-20426 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1922516640
LBN Legal business name Land, Nicole Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2018
Last updated May 9th, 2022 - about 3 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 1922516640 NPPES
Georgia Other 071423 CPH

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