Individual
NICHOLAS JAMES EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 E MEADOWLARK BLVD APT 6-106, DERBY, KS 67037-9388
(972) 922-6924
Mailing address
1300 E MEADOWLARK BLVD APT 6-106, DERBY, KS 67037-9388
(972) 922-6924
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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