Individual
JULIE AMANDA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Mailing address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 913-9930
(860) 612-9952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
419
CT
Other
Enumeration date
06/24/2019
Last updated
06/22/2023
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