Jade N Nicholson

NPI #1003311481 in Towson, Maryland

Provider Information

NPI Number: 1003311481
Entity Type: Individual
Name: Jade N Nicholson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 27, 2018
Last Updated: Mar 27, 2018

Practice Location

Address: 1026 CROMWELL BRIDGE RD
City: Towson
State: Maryland
ZIP Code: 21286-3318
Phone: (410) 583-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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