Individual
SHAUNA LEE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
580 LACONIA RD, TILTON, NH 03276-5321
(603) 527-8620
Mailing address
6 CELTIC ST, CONCORD, NH 03301-4404
(603) 998-4998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35025
NH
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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