Individual
NICOLE G SUCHOMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
21007 E. AVENDIA DEL VALLE, QUEEN CREEK, AZ 85242
(480) 361-1025
Mailing address
5353 KELLER SPRINGS RD, 1223, DALLAS, TX 75248-2778
(715) 271-2442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6593
TX
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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