Individual
NICOLE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 932-2800
Mailing address
1223 ARGONNE RD, SOUTH EUCLID, OH 44121-2916
(216) 262-6050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44642
OH
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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