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Individual
NICOLE WHITE
Active
Individual
NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI1996
FL LICENSE
FL
Enumeration date
03/28/2012
Last updated
07/20/2020
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