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1356021810
NICOLE LONG
NAPERVILLE, IL
NPI
1356021810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-18-32613)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
NICOLE LONG BCBA
1315 MACOM DR STE LL-003
NAPERVILLE, IL 60564-9358
Phone number: 630-299-3325
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Mailing Address
NICOLE LONG BCBA
1112 W BOUGHTON RD # 156
BOLINGBROOK, IL 60440-1508
Phone number:
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