Individual
NICOLE HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E MAPLE ST, POCATELLO, ID 83201-4647
(208) 226-4785
Mailing address
751 S UNIVERSITY AVE APT 7, BLACKFOOT, ID 83221-3368
(208) 241-3386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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