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Individual
NITASHA RAE DICKES
Active
Individual
NITASHA RAE DICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9649
NE
103K00000X
Behavior Analyst
Primary
000509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/23/2012
Last updated
01/21/2021
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