Individual
NICHOLAS A SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26121 US ROUTE 11 STE 1, EVANS MILLS, NY 13637-3283
(315) 221-5101
(315) 681-4613
Mailing address
26121 US ROUTE 11 STE 1, EVANS MILLS, NY 13637-3283
(315) 221-5101
(315) 681-4613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-66569
NY
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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