Individual
ANTOINETTE NICHOLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5 N LONGVIEW RD, HOWELL, NJ 07731-1701
(917) 885-3296
Mailing address
5 N LONGVIEW RD, HOWELL, NJ 07731-1701
(917) 885-3296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18870
NJ
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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