Nickole L Bishop

NPI #1174129571 in Orem, Utah

Provider Information

NPI Number: 1174129571
Entity Type: Individual
Name: Nickole L Bishop
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 1140 W. 1130 S.
Address 2: SUIT B
City: Orem
State: Utah
ZIP Code: 84058
Phone: (801) 953-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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