Individual
NICHOLE SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
339 BOSTON POST RD, ORANGE, CT 06477-3503
(203) 799-4110
Mailing address
339 BOSTON POST RD, ORANGE, CT 06477-3503
(203) 799-4110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1161
CT
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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