Individual
NICOLAUS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 FUJI LN, CLARKSVILLE, TN 37040-8800
(931) 292-2601
Mailing address
1925 ASHLAND CITY RD APT 807, CLARKSVILLE, TN 37043-1602
(270) 484-7238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-459655
—
Other
Enumeration date
08/12/2025
Last updated
08/14/2025
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