Nicole Nickerson
NPI #1750789939 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1750789939
- Entity Type
- Individual
- Name
- Nicole Nickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 19, 2014
- Last Updated
- Dec 19, 2014
Practice Location
- Address
- 70 N OCEAN AVE
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-5016
- Phone
- (631) 375-9055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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