NPI 1063800407

Nicole Mink, BCBALBA

Practitioner Behavior Analyst Lynchburg, VA

Practice location

Address: 18697 Forest Rd, Lynchburg, VA 24502-4363
Phone: (434) 239-0003

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0133000348 (VA)

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Registry record

NPI: 1063800407
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2015
Record last updated: 8 Jan 2015

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.