Individual
MRS. NICOLE MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
515 W 14TH ST, TRAVERSE CITY, MI 49684-4059
(800) 503-4150
(231) 346-6138
Mailing address
1662 SECOR FARMS TRL, TRAVERSE CITY, MI 49685-8126
(253) 753-7112
(231) 346-6138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2016
Last updated
09/24/2019
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