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NPI Code Detail

MEDICARE: NICHOLE JOYCE BCBA

MEDICARE: NICHOLE JOYCE BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1629586557
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE JOYCE BCBA
Provider Business Mailing Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number : 804-215-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2018
Last Update Date : 02/15/2023

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Directions to “ NICHOLE JOYCE BCBA” Practice Location

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