Individual
NICOLE MARY NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SATURN ST N STE A, COSMOS, MN 56228-9757
(763) 807-0437
Mailing address
320 SATURN ST N STE A, COSMOS, MN 56228-9757
(763) 807-0437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88539
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/31/2020
Last updated
05/07/2026
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