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NPI Code Detail

MEDICARE: NICOLE MICHELE NICHOLS

MEDICARE: NICOLE MICHELE NICHOLS
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 AnalystBH005007PA

General Provider Information

NPI Number : 1881527992
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MICHELE NICHOLS
Provider Business Mailing Address
First Line : 38 N SCOTT ST
Second Line :
City : CARBONDALE
State : PA
Zip : 18407-1888
Country : US
Telephone Number : 570-280-2800
Fax Number :
Provider Business Practice Location Address
First Line : 38 N SCOTT ST
Second Line :
City : CARBONDALE
State : PA
Zip : 18407-1888
Country : US
Telephone Number : 570-280-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ NICOLE MICHELE NICHOLS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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