NICHOLL BOOSE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1285432484- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2535 MILLIKIN PKWY, DECATUR, IL, 625262156
- Phone
- (217) 685-2549
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
333 S MAIN ST
DECATUR, IL, 625231416