Most Relevant Information
Provider Data
| NPI Number: | 1003641036 |
| Provider Name: | NICHELLE CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2024 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
115 SUDBROOK LN STE F
PIKESVILLE
MD
212084184
Practice Location Phone/Fax
| Phone: | 4433539547 |
| Fax: |
Provider Mailing Location
115 SUDBROOK LN STE F
PIKESVILLE
MD
212084184
Provider Mailing Phone/Fax
| Phone: | 4433539547 |
| Fax: |