Nickolas McClain, RBT
Behavior Technician in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1669975348
StatusActive
Last updated in NPPESMar 9, 2018
Details
- NPI
- 1669975348
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nickolas McClain
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2018
- Last updated
- Mar 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-41654 | IN | Yes |
Practice location
4935 Hillegas RdFort Wayne, IN 46818-1934
Phone 260-338-1241 · Fax 260-338-1231
Mailing address
4935 Hillegas RdFort Wayne, IN 46818-1934
Phone 260-338-1241 · Fax 260-338-1231
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