Individual
NICOLE VISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Mailing address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
740100146
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/05/2020
Last updated
04/15/2021
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