Individual
NICHELLE ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5984 S SUSQUEHANNA, MURRAY, UT 84123-5527
(801) 913-9963
Mailing address
4872 W SERENGETI DR APT 503, RIVERTON, UT 84096-7367
(315) 921-1011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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