NPI 1801175773 · live from the CMS NPI Registry
Nicole Black
Behavior Analyst in Farmington, MO. National Provider Identifier 1801175773, active.
NPI record
| NPI | 1801175773 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1085 Maple St, Farmington, MO 63640 |
| Practice phone | 573-756-5353 |
| Enumerated | August 10, 2011 |
| Last updated | August 10, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.