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Nicole Marie Walsh

Behavior Technician in Fairborn, OH. Individual provider (NPI-1).

NPI number1982190864
StatusActive
Last updated in NPPESJul 3, 2018

Details

NPI
1982190864
Entity type
Individual (NPI-1)
Name
Nicole Marie Walsh
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2018
Last updated
Jul 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1750 Commerce Center Blvd
Fairborn, OH 45324-6333

Phone 937-878-8444

Mailing address

1750 Commerce Center Blvd
Fairborn, OH 45324-6333

Phone 937-878-8444

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