Individual
CHARLOTTE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6849 PEACHTREE DUNWOODY RD BLDG A1, ATLANTA, GA 30328-6769
(678) 691-2206
Mailing address
1838 RAVENWOOD WAY NE, ATLANTA, GA 30329-2723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61158
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/20/2022
Last updated
09/12/2022
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