Individual
MRS. NICOLE M CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10621 RENE ST, LENEXA, KS 66215-4052
(913) 825-0893
(913) 825-0896
Mailing address
10621 RENE ST, LENEXA, KS 66215-4052
(913) 825-0893
(913) 825-0896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
03/02/2011
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