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Nicole C Graveline

Behavior Technician in Warwick, RI. Individual provider (NPI-1).

NPI number1164079893
StatusActive
Last updated in NPPESAug 19, 2019

Details

NPI
1164079893
Entity type
Individual (NPI-1)
Name
Nicole C Graveline
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2019
Last updated
Aug 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

275 W Natick Rd Ste 400
Warwick, RI 02886-1161

Phone 401-826-8875 · Fax 401-826-8926

Mailing address

275 W Natick Rd Ste 400
Warwick, RI 02886-1161

Phone 401-826-8875 · Fax 401-826-8926

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