Nicole Marie Tice

NPI #1922632827 in Juneau, Alaska

Provider Information

NPI Number: 1922632827
Entity Type: Individual
Name: Nicole Marie Tice
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2020
Last Updated: Feb 28, 2020

Practice Location

Address: 3260 HOSPITAL DR
City: Juneau
State: Alaska
ZIP Code: 99801-7808
Phone: (907) 796-8498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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