Nicole Havener, is a
Behavior Technician based in Orange, California. Nicole Havener is licensed to practice in * (Not Available) (license number ) and her current practice location is
625 The City Dr S Ste 120, Orange, California. She can be reached at her office (for appointments etc.) via phone at
(866) 727-8274.
NPI number for Nicole Havener is 1548737042 and her current mailing address is 625 The City Dr S Ste 120, Orange, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548737042.
Healthcare Provider's Profile
Full Name | Nicole Havener |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 625 The City Dr S Ste 120, Orange, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548737042
- Provider Enumeration Date: 11/01/2018
- Last Update Date: 07/23/2019
Medical Identifiers
Medical identifiers for Nicole Havener such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548737042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Havener is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Havener, 625 The City Dr S Ste 120, Orange, CA 92868-3352 Ph: (866) 727-8274 | Nicole Havener, 625 The City Dr S Ste 120, Orange, CA 92868 Ph: (866) 727-8274 |
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