White, Nicole

White, Nicole is an individual health care provider with primary practice located at 12702 Science Dr , Orlando FL 32826-3016. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. White, Nicole can be contacted via phone (407) 574-2073.

Contact Information

Primary practice address
12702 Science Dr Orlando FL 32826-3016
Phone: (407) 574-2073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1639445109
LBN Legal business name White, Nicole
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Jul 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639445109 NPPES
Florida Other SI1996 FL LICENSE

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