Michael W Nickerson, BCBA

NPI #1932672441 in Valparaiso, Florida

Provider Information

NPI Number: 1932672441
Entity Type: Individual
Name: Michael W Nickerson, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 7, 2019
Last Updated: Jun 29, 2021

Practice Location

Address: 415 DAVENPORT AVE
City: Valparaiso
State: Florida
ZIP Code: 32580-1074
Phone: (850) 974-5938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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