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Individual

MS. NICOLE SICOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-483
LA

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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