Nick R Avila III
Behavior Analyst in Galax, VA. Individual provider (NPI-1).
NPI number1982203550
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1982203550
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nick R Avila III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2020
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
372 Live Oak LnGalax, VA 24333-5476
Phone 276-238-7100 · Fax 276-238-0024
Mailing address
372 Live Oak LnGalax, VA 24333-5476
Phone 276-238-7100
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