Individual
CAITLIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
(812) 258-9802
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-8200
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-89793
FL
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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