Individual
NICHOLAS AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2740 SAINT ANDREWS DR, MURFREESBORO, TN 37128-6684
(615) 632-2003
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q055678
—
TN
Enumeration date
08/29/2019
Last updated
03/08/2024
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