Nicole Mickelson

NPI #1427439355 in Bellevue, Washington

Provider Information

NPI Number: 1427439355
Entity Type: Individual
Name: Nicole Mickelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 13010 NE 20TH ST
Address 2: SUITE 100
City: Bellevue
State: Washington
ZIP Code: 98005-2034
Phone: (425) 644-6328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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