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Individual

MRS. AMELIA ELLEN NICHOLLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4088 MATTSON PL NE, BAINBRIDGE ISLAND, WA 98110-2224
(206) 919-6546
Mailing address
271 WINSLOW WAY E UNIT 10405, BAINBRIDGE ISLAND, WA 98110-9972
(206) 919-6546

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74779
WA

Other

Enumeration date
06/22/2011
Last updated
09/22/2024
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