Individual
NICOLE MARIE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 807-0550
Mailing address
40 FREDERICK AVE, BABYLON, NY 11702-2104
(631) 649-2889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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