Individual
NICOLE DEANNE CHRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(541) 414-1720
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(541) 414-1720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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