Individual
CICELY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 S GLENBURNIE RD STE 17, NEW BERN, NC 28562-2240
(252) 341-4192
Mailing address
308 GREENVILLE BLVD SE STE B1, GREENVILLE, NC 27858-5758
(252) 341-4192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34437
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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