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Individual
NICOLE MOMANEY
Active
Individual
NICOLE MOMANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CG60553748
WA
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
04/16/2015
Last updated
10/29/2016
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