MEDICARE: DR. NICOLA RITCHIE ED.D.

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1407245400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLA RITCHIE ED.D.

Provider Business Mailing Address
First Line	:	1808 APPLE RIDGE CIR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8584
Country	:	US
Telephone Number	:	615-310-0359
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 APPLE RIDGE CIR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8584
Country	:	US
Telephone Number	:	615-310-0359
Fax Number	:

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

Provider Enumeration Date	:	01/13/2015
Last Update Date	:	01/13/2015

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