Individual
MR. NICHOLAS A CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
632 WASHINGTON AVE APT 64, BOWLING GREEN, KY 42103-7991
(270) 991-1192
Mailing address
632 WASHINGTON AVE APT 64, BOWLING GREEN, KY 42103-7991
(270) 991-1192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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