Individual
MRS. NICOLE T THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
4201 BRIDLEPATH CT, FREDERICKSBURG, VA 22408-8813
(540) 847-1936
Mailing address
4201 BRIDLEPATH CT, FREDERICKSBURG, VA 22408-8813
(540) 847-1936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10497
VA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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