Individual
NICOLE VINCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-17-41711
Contact information
Practice address
402 FEDERAL DR, CRYSTAL LAKE, IL 60014
(920) 857-9041
(920) 857-3366
Mailing address
2487 STONEGATE RD, ALGONQUIN, IL 60102-6403
(847) 636-6689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
02/06/2023
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