| NPI | 1508267980 |
|---|---|
| Former Legal Business Name | NICOLE MINARD, INC |
| Entity Type | Organization |
| Authorized Contact | NICOLE MINARD Owner 863-602-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 1-14-15928) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2018-10-15 |