Nicole Visin, MA, BCBA, LBA
Behavior Analyst in Benton Harbor, MI. Individual provider (NPI-1).
NPI number1265071443
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1265071443
- Entity type
- Individual (NPI-1)
- Name
- Nicole Visin
- Credential
- MA, BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2020
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 740100146 | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone 269-983-5833
Mailing address
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone 269-983-5833
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