Individual
NICOLE GAINFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 HICKORY CT, SEBEWAING, MI 48759-1413
(989) 553-0314
Mailing address
610 HICKORY CT, SEBEWAING, MI 48759-1413
(989) 553-0314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001916
MI
247200000X
Other Technician
—
—
Other
Enumeration date
08/19/2020
Last updated
02/03/2025
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