Individual
NICOLE PINEDA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10356 FOREST BROOK LN APT C, SAINT LOUIS, MO 63146-5840
(636) 219-2751
Mailing address
10356 FOREST BROOK LN APT C, SAINT LOUIS, MO 63146-5840
(636) 219-2751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2015001982
MO
Other
Enumeration date
01/05/2015
Last updated
02/11/2021
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