Jessica Nicholas

NPI #1700498730 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1700498730
Entity Type: Individual
Name: Jessica Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 20, 2020
Last Updated: Nov 14, 2023

Practice Location

Address: 2603 W RAWSON AVE STE 132
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-8422
Phone: (888) 754-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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