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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE BLACK

Active Sole Proprietor

NICOLE BLACK is a Behavior Analyst healthcare provider located in FARMINGTON, Missouri. NPI 1801175773 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · FARMINGTON, MO

Registration Details

NPI Number
1801175773
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2011 (15.021854369353 yrs)
Last Updated
Aug 10, 2011
Sole Proprietor
Yes

Practice Information

Address
1085 MAPLE ST
FARMINGTON, MO, 636401955
Browse MO providers · Browse ZIP 63640
Phone
5737565353
Fax
5737564557
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in FARMINGTON, MO

Name Credential NPI
MIRANDA WAMPLER 1053690925
MRS. JENNA FISHER 1144775693
KEVIN WILKINS 1174078620
MR. JASON TODD REAGAN 1689152159
ADAM FELTES 1912521030
JULIE REED 1922612787
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.