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Individual

NICOLE SEACORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, RBT

Contact information

Practice address
583 SHOEMAKER RD # SITE230, KING OF PRUSSIA, PA 19406-4201
(484) 681-2170
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75920
PA
106S00000X
Behavior Technician
RBT-23-307426
PA

Other

Enumeration date
11/15/2023
Last updated
10/21/2024
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