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Individual

NICOLE K. STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LMFT

Contact information

Practice address
1870 N MAIN ST STE 206, CEDAR CITY, UT 84721-7741
(801) 255-5131
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 255-5131

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-11-4007
UT
103K00000X
Behavior Analyst
8588423-2506
UT
106H00000X
Marriage & Family Therapist
Primary
8588423-3902
UT

Other

Enumeration date
08/03/2011
Last updated
04/11/2022
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