Individual
NICOLE L LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
Mailing address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8378
TX
Other
Enumeration date
10/15/2025
Last updated
10/24/2025
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