Individual
NICOLE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 RIVER HWY STE 300, MOORESVILLE, NC 28117-9055
(704) 945-4477
Mailing address
634 RIVER HWY STE 300, MOORESVILLE, NC 28117-9055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
07/11/2024
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