Individual
CICELY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7938 COLLEGE RD, BAXTER, MN 56425-8636
(978) 857-5121
Mailing address
149 CHATHAM RD, HAVELOCK, NC 28532-3700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34437
—
Other
Enumeration date
05/10/2019
Last updated
05/21/2026
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