MS. Emily Rose Nichols

NPI #1063979789 in Melville, New York

Provider Information

NPI Number: 1063979789
Entity Type: Individual
Name: MS. Emily Rose Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2019
Last Updated: Feb 28, 2019

Practice Location

Address: 225 BROADHOLLOW RD STE 402
City: Melville
State: New York
ZIP Code: 11747-4899
Phone: (631) 385-7795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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