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Individual

NICHOLAS S LIDDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 NW GILMAN BLVD, ISSAQUAH, WA 98027-2445
(607) 592-3050
Mailing address
7415 5TH AVE NE APT 112, SEATTLE, WA 98115-5368
(607) 592-3050

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79091

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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