Nicole Suzanne Anderson
Behavior Technician in Kingston, NH. Individual provider (NPI-1).
NPI number1982193769
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1982193769
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Suzanne Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-32782 | NH | Yes |
Practice location
87 Main StKingston, NH 03848-3211
Phone 603-275-0922
Mailing address
87 Main StKingston, NH 03848-3211
Phone 603-275-0922
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