NPI 1043907256

Nicole Lynn Durussell

Practitioner Assistant Behavior Analyst Atlanta, GA

Practice location

Address: 260 Peachtree St NW, Atlanta, GA 30303-1202
Phone: (404) 527-6294

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 106E00000X (GA)

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Registry record

NPI: 1043907256
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2023
Record last updated: 18 Apr 2023

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.