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Madison Nichols

Behavior Technician in Aurora, CO. Individual provider (NPI-1).

NPI number1104583939
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1104583939
Entity type
Individual (NPI-1)
Name
Madison Nichols
Sex
Female
Sole proprietor
No
Enumeration date
Nov 29, 2021
Certification date
Nov 29, 2021
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1330 S Potomac St
Suite 112
Aurora, CO 80012-4527

Phone 303-989-8169

Mailing address

1330 S Potomac St
Suite 112
Aurora, CO 80012-4527

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