Individual
VICTORIA ALEXANDRA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 JACK ROBERT DR, BRIDGETON, NJ 08302-6059
(856) 392-6603
Mailing address
9 JACK ROBERT DR, BRIDGETON, NJ 08302-6059
(856) 392-6603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NJ
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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