Nicole Nichols, RBT

NPI #1033830682 in Mattapan, Massachusetts

Provider Information

NPI Number: 1033830682
Entity Type: Individual
Name: Nicole Nichols, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 1317 BLUE HILL AVE UNIT 1
City: Mattapan
State: Massachusetts
ZIP Code: 02126-1949
Phone: (857) 719-2686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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