Individual
MRS. NICOLE JOY DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
118 1/2 S FRONT ST, DOWAGIAC, MI 49047-1737
(248) 830-4035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
08/30/2010
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