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Individual
NICHOLAS NYE PELTON
Active
Individual
NICHOLAS NYE PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53723
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-53723
BEHAVIOR ANALYSIS CERTIFICATION BOARD
CO
Enumeration date
10/22/2021
Last updated
10/22/2021
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