Individual
JESSICA ANNEMARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 MC DOWELL RD STE 101, NAPERVILLE, IL 60563-6533
(331) 229-8839
Mailing address
5143 GRAND AVE, DOWNERS GROVE, IL 60515-5120
(630) 414-7489
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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