Individual
NICOLE DENISE MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 LYTER DR, JOHNSTOWN, PA 15905-1206
(814) 254-4472
Mailing address
1732 LYTER DR, JOHNSTOWN, PA 15905-1206
(814) 254-4472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007163
PA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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