MEDICARE: NICHOLAS GORDON FLOE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1205771193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS GORDON FLOE

Provider Business Mailing Address
First Line	:	901 W FAIRWAY DR APT C
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-5936
Country	:	US
Telephone Number	:	20-380-7223
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 W FAIRWAY DR APT C
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-5936
Country	:	US
Telephone Number	:	717-940-9492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ NICHOLAS GORDON FLOE ” Practice Location

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