Individual
AMANDA NICOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4910 N CHESTNUT AVE, FRESNO, CA 93726-1852
(559) 278-1028
(559) 278-0015
Mailing address
8249 N BACKER AVE, FRESNO, CA 93720-0425
(559) 278-1028
(559) 278-0015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000172
CA
Other
Enumeration date
08/14/2012
Last updated
06/21/2021
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