Nicole Suzanne Anderson
Individual provider Active NPI Behavior Technician · Kingston, NH
NPI 1982193769 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1982193769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-32782 (NH)
- Practice address
- 87 Main St
Kingston, NH 03848-3211 - Phone
- (603) 275-0922
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-32782 | NH | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-32782 | NH | Yes |
Addresses
Primary practice location
87 Main St
Kingston, NH 03848-3211
Mailing address
87 Main St
Kingston, NH 03848-3211
Phone (603) 275-0922
Other providers in Kingston, NH
All providers in Kingston, NH · Behavior Technician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.