Individual
NICOLE VANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 EAST GEORGIA ROAD, STE 100, WOODRUFF, SC 29388
(803) 210-7302
Mailing address
117 BENNETT STREET, APT C, GREENVILLE, SC 29601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
SC
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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