Individual
NICOLE KRIVICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 S OHIO AVE, SEDALIA, MO 65301-4431
(888) 515-1793
Mailing address
309 S OHIO AVE, SEDALIA, MO 65301-4431
(888) 515-1793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-141629
IL
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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