Individual
NICOLE MAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
250 SPRUCE AVE, MERRITT ISLAND, FL 32953-4363
(321) 503-5155
Mailing address
250 SPRUCE AVE, MERRITT ISLAND, FL 32953-4363
(321) 503-5155
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15644
FL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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