| NPI | 1417463761 |
|---|---|
| Former Name | NICOLE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2019-10-18 |