Individual
MICHELLE CLAIRE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
5709 W SUNSET HWY STE 100, SPOKANE, WA 99224-9446
(509) 209-2690
(509) 789-3323
Mailing address
5709 W SUNSET HWY STE 100, SPOKANE, WA 99224-9446
(509) 209-2690
(509) 789-3323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA60759342
LICENSED BEHAVIOR ANALYST
WA
Enumeration date
12/15/2011
Last updated
03/17/2018
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