Provider Demographics
NPI:1841534401
Name:NOLAN, CELINE E (BCABA)
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:E
Last Name:NOLAN
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:CELINE
Other - Middle Name:E
Other - Last Name:RICHMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:904 MOUNTAIN LION CIR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-5724
Mailing Address - Country:US
Mailing Address - Phone:254-213-1924
Mailing Address - Fax:
Practice Address - Street 1:904 MOUNTAIN LION CIR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-5724
Practice Address - Country:US
Practice Address - Phone:254-213-1924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst