Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NICOLE M STAITI, B.A.
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BARRE, MA
Registration Details
- NPI Number
- 1548572126
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2010 (15.777797523546 yrs)
- Last Updated
- Apr 5, 2016
- License
-
1475136 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
455 SOUTH STBARRE, MA, 010058909Browse MA providers · Browse ZIP 01005
- Phone
- 9783554541
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.