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Individual

KAYCEE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR ANALYST

Contact information

Practice address
525 W 465 N STE 120, PROVIDENCE, UT 84332-5604
(801) 655-4950
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14250563-2506
UT
106S00000X
Behavior Technician
UT

Other

Enumeration date
10/13/2021
Last updated
10/08/2025
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