Nicole Dismukes

NPI #1114609609 in Euclid, Ohio

Provider Information

NPI Number: 1114609609
Entity Type: Individual
Name: Nicole Dismukes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 20611 EUCLID AVE
City: Euclid
State: Ohio
ZIP Code: 44117-1521
Phone: (216) 859-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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