Individual
NICOLE HOUSEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTER ST APT 212, HENDERSON, NV 89015-5267
(702) 559-0931
Mailing address
1100 CENTER ST APT 212, HENDERSON, NV 89015-5267
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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