Nicole Monique Azevedo, BCBA
Behavior Analyst in Milpitas, CA. Individual provider (NPI-1).
NPI number1790171908
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1790171908
- Entity type
- Individual (NPI-1)
- Name
- Nicole Monique Azevedo
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2015
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18422 | CA | Yes |
Other names
- Nicole Monique Rodrigues (Former Name)
Practice location
1377 Coyote Creek WayMilpitas, CA 95035-7944
Phone 408-728-5853
Mailing address
1377 Coyote Creek WayMilpitas, CA 95035-7944
Phone 408-728-5853
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All 31 Behavior Analyst providers in Milpitas · All 1,204 providers in Milpitas
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