Individual
DR. NICHOLE DANYEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA, LBA
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(888) 968-4448
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
326
CT
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/23/2016
Last updated
01/12/2023
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