Individual
NICOLE DEYOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
611 S HIGHWAY 78 STE 123, WYLIE, TX 75098-4112
(972) 429-5700
Mailing address
3098 MAVERICK DR, HEATH, TX 75126-1909
(805) 558-9862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37134
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/11/2017
Last updated
09/24/2019
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