Nickcole Melanie Young, BI

NPI #1427755404 in Chubbuck, Idaho

Provider Information

NPI Number
1427755404
Entity Type
Individual
Name
Nickcole Melanie Young, BI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
BI
Enumeration Date
Feb 10, 2023
Last Updated
Feb 10, 2023

Practice Location

Address
5202 LUCKY AVE APT A2
State
Idaho
ZIP Code
83202-2395
Phone
(208) 380-2249

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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