Individual
NIKOLE NOVIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10005 E OSBORN RD BLDG 61, SCOTTSDALE, AZ 85256-4019
(480) 946-9066
Mailing address
4628 S CENTRIC WAY, MESA, AZ 85212-9417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CG60460804
WA
122300000X
Dentist
Primary
D011130
AZ
Other
Enumeration date
05/20/2014
Last updated
08/25/2021
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