John Nickerson

NPI #1356988794 in Spokane, Washington

Provider Information

NPI Number: 1356988794
Entity Type: Individual
Name: John Nickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 947 E 35TH AVE
City: Spokane
State: Washington
ZIP Code: 99203-3163
Phone: (509) 995-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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