Individual
KELLY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 E SPOKANE FALLS BLVD, SUITE 14, SPOKANE, WA 99202-5081
(509) 328-1582
Mailing address
528 E SPOKANE FALLS BLVD, SUITE 14, SPOKANE, WA 99202-5081
(509) 328-1582
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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