Individual
MS. NICOLE MARIE FRANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 SE ANKENY STREET, APT 305, PORTLAND, OR 97214
(203) 470-4960
Mailing address
2623 SE ANKENY ST, APARTMENT 305, PORTLAND, OR 97214-1764
(203) 470-4960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XGN0879M49462
ANTHEM
CT
Enumeration date
09/14/2009
Last updated
09/14/2009
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