Individual
NICKOLE MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 CENTRE SARCELLE BLVD, YOUNGSVILLE, LA 70592-6755
(661) 619-8145
Mailing address
101 BUDDY DR, LAFAYETTE, LA 70508-7002
(661) 619-8145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
12/04/2025
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