Individual
NICOLE ANGELA GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
515 225TH PL NE, SAMMAMISH, WA 98074-7153
(951) 970-4988
Mailing address
515 225TH PL NE, SAMMAMISH, WA 98074-7153
(951) 970-4988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61259163
WA
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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