Cicely Irene Nickerson

NPI #1114393030 in Riverton, Utah

Provider Information

NPI Number
1114393030
Entity Type
Individual
Name
Cicely Irene Nickerson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Enumeration Date
Aug 14, 2015
Last Updated
Aug 14, 2015

Practice Location

Address
13923 S HAYSTACK PEAK CIR
State
Utah
ZIP Code
84096-6453
Phone
(801) 506-6695

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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