Individual
NICOLE RENEE BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-NY
Contact information
Practice address
6 MARTHA RD, MONSEY, NY 10952-1406
(845) 327-7111
Mailing address
84 SHERMAN ST, LYNBROOK, NY 11563-2020
(516) 512-4513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004321
NY
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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