Carter Nickell

NPI #1194619056 in Gladstone, Missouri

Provider Information

NPI Number: 1194619056
Entity Type: Individual
Name: Carter Nickell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2025
Last Updated: Jun 5, 2025

Practice Location

Address: 5604 N ANTIOCH RD
City: Gladstone
State: Missouri
ZIP Code: 64119-2327
Phone: (913) 802-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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