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Individual
MS. NICOLE COLLINS
Active
Individual
MS. NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000620
AZ
106S00000X
Behavior Technician
1981341
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082767
—
AZ
Enumeration date
04/02/2019
Last updated
01/30/2023
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