Individual
NICHOLAS BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
07/20/2022
Last updated
03/06/2025
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