Individual
NICOLE SCHWENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10726 LIBBY NUMBER 3 RD, CLERMONT, FL 34715-8734
(352) 508-5243
(352) 602-4142
Mailing address
30114 TAVARES RIDGE BLVD, TAVARES, FL 32778-4468
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/15/2017
Last updated
04/19/2019
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