Suprise, Deseray Nichole
Suprise, Deseray Nichole is an individual health care provider with primary practice located at 2516 Catron Loop Apt B , Holloman Afb NM 88330-7415. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Suprise, Deseray Nichole can be contacted via phone (956) 502-7475.Contact Information
Primary practice address
2516 Catron Loop Apt B
Holloman Afb NM 88330-7415
Phone: (956) 502-7475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1144873142 |
|---|---|
| LBN Legal business name | Suprise, Deseray Nichole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2019 |
| Last updated | Jul 18th, 2019 - about 7 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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