Male or Other

Nicholas A. Mineo BA

Behavioral Analyst in Watkinsville, GA(View on Map)

Full Name

Nicholas Anthony Mineo BA

NPI Number

1134739105

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/05/2020

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia
Georgia

License Number

1-22-60847
RBT-20-121895

Contact
Information

Purpose

Mailing
Location

Address

3500 DEPAUW BLVD STE 3070
1272 VIRGIL LANGFORD RD STE 101

City

Indianapolis
Watkinsville

State

IN
GA

Postal Code

46268-6135
30677-7245

Country

US
US

Telephone Number

(855) 324-0885
(706) 449-0273

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/11/2022

Provider Address

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