Individual
MS. NICOLE LYNN PICKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 MYSTERY ROSE LN, WEST GROVE, PA 19390-8812
(610) 316-7307
(610) 436-1208
Mailing address
130 WASHINGTON AVE, DOWNINGTOWN, PA 19335-2950
(941) 330-5535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-180968
—
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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