Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE NICKERSON
Active Sole ProprietorNICOLE NICKERSON is a Behavior Analyst healthcare provider located in RONKONKOMA, New York. NPI 1750789939 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · RONKONKOMA, NY
Registration Details
- NPI Number
- 1750789939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2014 (11.612575735586 yrs)
- Last Updated
- Dec 19, 2014
- License
-
000523 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
70 N OCEAN AVERONKONKOMA, NY, 117795016Browse NY providers · Browse ZIP 11779
- Phone
- 6313759055
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. ROSEMARIE ZACCHI | — | 1295050458 |
| MS. KRISTEN DI STEFANO | — | 1568895100 |
| PAT BIVONA | — | 1093114712 |
| ADAM J ZOFFRANIERI | — | 1740642511 |
| ELIZABETH HENNEBORN | M.A. | 1780047555 |
| JENA SAPARITO BULLIS | — | 1528416344 |
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.