Hattie Miranda Nichols

NPI #1194692772 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1194692772
Entity Type: Individual
Name: Hattie Miranda Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 20, 2025
Last Updated: Oct 20, 2025

Practice Location

Address: 2995 WARRIOR LN
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-8600
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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