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Individual

NICHOLAS W LAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
221 EAGLE DR, MATTHEWS, MO 63867-9192
(573) 703-7974
Mailing address
221 EAGLE DR, MATTHEWS, MO 63867-9192
(573) 703-7974

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
104100000X
Social Worker
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
171400000X
Health & Wellness Coach
Primary
172V00000X
Community Health Worker
222Q00000X
Developmental Therapist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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