Nicolas Matthew Hall
Behavior Technician
166 A1a N Suite 214
Ponte Vedra Beach
, Florida 32082
Nicolas Matthew Hall
Behavior Technician
166 A1a N Suite 214
Ponte Vedra Beach
, Florida 32082
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Nicolas Matthew Hall
- 130 Corridor Rd Unit 3929
- Ponte Vedra Beach, FL
- Zip : 32004-7850
- Phone :
Second Address
- Nicolas Matthew Hall
- 166 A1a N Suite 214
- Ponte Vedra Beach, FL
- Zip : 32082
- Phone : (904) 638-6388
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003403429 |
|---|---|
| Provider Name | Nicolas Matthew Hall |
| First Address | Ponte Vedra Beach, FL 32004-7850 |
| Second Address | Ponte Vedra Beach, FL 32082 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2020 |
| Last Update Date | 31/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.