Individual
NICHOLAS ALEXANDER CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5775
Mailing address
2520 S PLAZA DR APT 1030, TEMPE, AZ 85282-1030
(602) 881-3286
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000638
AZ
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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