Nichole Marie Long

NPI #1336827971 in Dade City, Florida

Provider Information

NPI Number: 1336827971
Entity Type: Individual
Name: Nichole Marie Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 12747 WARE LN APT 103
City: Dade City
State: Florida
ZIP Code: 33525-8355
Phone: (352) 777-2695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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