NPI 1023737707

Nicole Renee Miceli, RBT

Practitioner Behavior Technician Avon, IN

Practice location

Address: 7105 Galen Dr W, Avon, IN 46123-8450
Phone: (317) 813-4690
Mailing address: 8435 Wicklow Way, Brownsburg, IN 46112-7203

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-152964 (IN)

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Registry record

NPI: 1023737707
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2022
Record last updated: 25 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.