Individual
CAYMAN NICHOLE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MA
Contact information
Practice address
701 GLENCREST LN STE A, LONGVIEW, TX 75601-5145
(903) 686-9009
Mailing address
4030 N CENTRAL EXPY APT 185, DALLAS, TX 75204-3238
(903) 331-4893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7125
TX
106S00000X
Behavior Technician
RBT-20-149744
TX
Other
Enumeration date
12/31/2020
Last updated
07/19/2024
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