Individual
MR. NICHOLAS SCOTT WILLITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4440 GARWOOD PL, RICHMOND, IN 47374-6069
(765) 987-5437
(317) 436-8911
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
(317) 436-8911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35716
IN
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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