Individual
NICOLA BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CHES
Contact information
Practice address
1113 E 212TH ST APT 4, BRONX, NY 10469-2461
(646) 666-3088
Mailing address
466 MAIN ST STE LL20, NEW ROCHELLE, NY 10801-6431
(646) 666-3088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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