Individual
NICOLE TOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
205 N BROAD ST STE 201, PHILADELPHIA, PA 19107-1553
(484) 681-2170
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46301
NJ
Other
Enumeration date
12/31/2020
Last updated
02/20/2022
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