Individual
MRS. NICHOLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
686 HWY 58 E, NORTON, VA 24273
(276) 525-4460
Mailing address
304 WRIGHT AVE, WISE, VA 24293-5419
(276) 219-9626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002068
VA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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