Individual
DR. NICOLE KATHLEEN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. BCBA-D
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001136
NY
103K00000X
Behavior Analyst
1-12-12365
NY
103T00000X
Psychologist
Primary
0004775
CO
103T00000X
Psychologist
020115
NY
Other
Enumeration date
06/25/2014
Last updated
09/12/2018
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