Individual
NICHOLE LEIGH NISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 ENTERPRISE DR, VERONA, WI 53593-9124
(608) 497-3230
Mailing address
200 ENTERPRISE DR, VERONA, WI 53593-9124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
359-140
WI
Other
Enumeration date
04/27/2020
Last updated
04/28/2020
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