Individual
ANNA L NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215
(502) 409-7181
(888) 450-0935
Mailing address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-39054
IN
Other
Enumeration date
06/07/2018
Last updated
03/21/2019
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