Individual
NICOLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
(833) 912-0110
Mailing address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
(833) 912-0110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
00012492
CA
Other
Enumeration date
03/17/2020
Last updated
05/15/2025
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