Nicole Gan, RBT is a
Behavior Analyst based in Tacoma, Washington. Nicole Gan is licensed to practice in Colorado (license number 1-18-34086) and her current practice location is
4301 S Pine St Ste 505, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 292-4354.
NPI number for Nicole Gan is 1295244051 and her current mailing address is 8210 52nd Street Ct W, University Place, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295244051.
Healthcare Provider's Profile
Full Name | Nicole Gan |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 4301 S Pine St Ste 505, Tacoma, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295244051
- Provider Enumeration Date: 09/25/2017
- Last Update Date: 10/17/2022
Medical Identifiers
Medical identifiers for Nicole Gan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295244051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-18-34086 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Gan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Gan, RBT 8210 52nd Street Ct W, University Place, WA 98467-1910 Ph: (626) 203-5419 | Nicole Gan, RBT 4301 S Pine St Ste 505, Tacoma, WA 98409-7208 Ph: (253) 292-4354 |
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