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Individual

TESLA NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 272-1289
Mailing address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 272-1289

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
08/08/2017
Last updated
07/21/2022
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