Individual
NICOLE BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
5078 ALLATOONA GTWY, ACWORTH, GA 30101-4906
(404) 441-4700
Mailing address
85 CHAPEL ST, NEWTON, MA 02458-1065
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
05/08/2024
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