Individual
KENDALL NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1187 LAKEWOOD FARMINGDALE RD, HOWELL, NJ 07731-8689
(844) 525-5226
Mailing address
18717 PRAIRIE CROSSING DR, NOBLESVILLE, IN 46062-6699
(951) 760-0201
(951) 760-0201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24393144
IN
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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