Individual
NICOLE SPRAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 S BOND AVE, PORTLAND, OR 97239-4571
(732) 749-2744
Mailing address
3720 S BOND AVE, PORTLAND, OR 97239-4571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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