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Individual

MS. NELL ELIZABETH NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2584 R W JOHNSON BLVD SW STE 100, TUMWATER, WA 98512-6103
(360) 878-6434
(844) 452-1758
Mailing address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
(844) 452-1758

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61259363
WA
106E00000X
Assistant Behavior Analyst
AB61124821
WA
106S00000X
Behavior Technician
CBT.CB.60846528
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922447572
WA
Enumeration date
06/17/2013
Last updated
10/23/2025
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