Individual
BRYN KATHERINE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2212 E NORTHGATE ST, INDIANAPOLIS, IN 46220-2815
(317) 544-8388
(317) 845-1886
Mailing address
2212 E NORTHGATE ST, INDIANAPOLIS, IN 46220-2815
(317) 544-8388
(317) 845-1886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-17-8025
IN
Other
Enumeration date
11/15/2017
Last updated
03/17/2018
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