Individual
NICOLE N VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 COMMONS BLVD STE B, PIEDMONT, SC 29673-7766
(864) 513-3334
(864) 999-2090
Mailing address
19 SPRING FALLS CT, GREENVILLE, SC 29607-7101
(803) 414-2428
(864) 999-2090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BA1087
—
SC
Enumeration date
11/15/2011
Last updated
06/25/2021
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