Laurie Nicholson

NPI #1245019702 in Astoria, New York

Provider Information

NPI Number: 1245019702
Entity Type: Individual
Name: Laurie Nicholson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 2253 24TH ST APT 1
City: Astoria
State: New York
ZIP Code: 11105-3412
Phone: (347) 624-4425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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