Surla, Nicole
Surla, Nicole is an sole proprietor health care provider with primary practice located at 1780 Oak Rd , Snellville GA 30078-2202. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Surla, Nicole can be contacted via phone (678) 691-6797.Contact Information
Primary practice address
1780 Oak Rd
Snellville GA 30078-2202
Phone: (678) 691-6797
Fax: (678) 302-3453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0-20-11349 | Georgia |
Profile Details
| NPI number | 1194328856 |
|---|---|
| LBN Legal business name | Surla, Nicole |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2020 |
| Last updated | Nov 17th, 2020 - about 4 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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