Ward, Nicholas

Ward, Nicholas is an sole proprietor health care provider with primary practice located at 1650 W Main St Ste 1 , Leesburg FL 34748-2842. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ward, Nicholas can be contacted via phone (352) 314-3760.

Contact Information

Primary practice address
1650 W Main St Ste 1 Leesburg FL 34748-2842
Fax: (352) 314-2909
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-139169 Florida

Profile Details

NPI number 1801491162
LBN Legal business name Ward, Nicholas
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2020
Last updated Dec 3rd, 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 1801491162 NPPES
Florida MEDICAID 108313100

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