Individual
MS. NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18899 N THOMPSON PEAK PKWY STE 100, SCOTTSDALE, AZ 85255-6335
(480) 999-6199
Mailing address
18899 N THOMPSON PEAK PKWY STE 100, SCOTTSDALE, AZ 85255-6335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000620
AZ
106S00000X
Behavior Technician
1981341
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082767
—
AZ
Enumeration date
04/02/2019
Last updated
01/30/2023
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