MISS Nichole Bashara, RBT19-80867
NPI #1003479726 in Jacksonville, Florida
Provider Information
- NPI Number
- 1003479726
- Entity Type
- Individual
- Name
- MISS Nichole Bashara, RBT19-80867
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT19-80867
- Enumeration Date
- Apr 18, 2019
- Last Updated
- Aug 30, 2024
Practice Location
- Address
- 8382 BAYMEADOWS RD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32256-4447
- Phone
- (904) 466-7186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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