Individual
NICOLE GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
3231 S GULLEY RD STE E, DEARBORN, MI 48124-4405
(313) 278-2327
Mailing address
3231 S GULLEY RD STE E, DEARBORN, MI 48124-4405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001577
MI
247200000X
Other Technician
—
—
Other
Enumeration date
06/09/2017
Last updated
12/18/2025
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