Nichols, Shannon Lisa

Nichols, Shannon Lisa is an sole proprietor health care provider with primary practice located at 90 N Hill Dr , Westampton NJ 08060-5718. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Nichols, Shannon Lisa can be contacted via phone (856) 359-6349.

Contact Information

Primary practice address
90 N Hill Dr Westampton NJ 08060-5718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-03-1101 Tennessee

Profile Details

NPI number 1952634578
LBN Legal business name Nichols, Shannon Lisa
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 15 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.

Request for update

Popular Providers