Individual
NICOLE BERTORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6722 MALONE CREEK DR, KNOXVILLE, TN 37931-3402
(917) 628-8027
Mailing address
6722 MALONE CREEK DR, KNOXVILLE, TN 37931-3402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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