Nicole Marie Lavigne, BA

NPI #1023673902 in Paducah, Kentucky

Provider Information

NPI Number: 1023673902
Entity Type: Individual
Name: Nicole Marie Lavigne, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: May 6, 2019
Last Updated: May 6, 2019

Practice Location

Address: 425 BROADWAY ST
City: Paducah
State: Kentucky
ZIP Code: 42001-0713
Phone: (270) 442-1452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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