Individual
RICHARD CORY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1253 JUDGE TYLER DR, CLARKSVILLE, TN 37043-1423
(931) 449-0063
Mailing address
1253 JUDGE TYLER DR, CLARKSVILLE, TN 37043-1423
(931) 449-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
447
TN
106S00000X
Behavior Technician
RBT-17-28733
TN
Other
Enumeration date
03/05/2018
Last updated
09/30/2019
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