Nicole Basile

NPI #1821644162 in Chesterfield, Michigan

Provider Information

NPI Number: 1821644162
Entity Type: Individual
Name: Nicole Basile
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 13, 2019
Last Updated: Jul 14, 2020

Practice Location

Address: 53869 CONNOR DR
City: Chesterfield
State: Michigan
ZIP Code: 48051-3930
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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