Individual
NICOLLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
201 W OLYMPIC PL APT 101, SEATTLE, WA 98119-4756
(206) 484-3615
Mailing address
201 W OLYMPIC PL APT 101, SEATTLE, WA 98119-4756
(206) 484-3615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14968
WA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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