Individual
MISS SARA ELISE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
258 4TH ST, BREMERTON, WA 98337-1813
(360) 431-2724
Mailing address
258 4TH ST, BREMERTON, WA 98337-1813
(360) 431-2724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60769870
WA
Other
Enumeration date
05/02/2013
Last updated
06/11/2025
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