Individual
NICOLE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 N FRONT ST, PHILADELPHIA, PA 19122-4743
(267) 807-0550
Mailing address
923 N 11TH ST, PHILADELPHIA, PA 19123-1135
(267) 444-1055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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