Individual
JOHN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
947 E 35TH AVE, SPOKANE, WA 99203-3163
(509) 995-3388
Mailing address
2327 E 1ST AVE, SPOKANE, WA 99202-3902
(509) 808-8482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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