Individual
NICOLE PITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 JERICHO TPKE, COMMACK, NY 11725-2850
(631) 864-7770
Mailing address
309 ATLANTIC AVE, MASSAPEQUA PK, NY 11762-1824
(516) 477-6235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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