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Individual

NICOLE NESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
5225 NESCONSET HWY, SUITE 30, PORT JEFFERSON STATION, NY 11776-2053
(631) 473-4284
Mailing address
1 JEFFERSON RD, FARMINGDALE, NY 11735-2207
(631) 626-2903

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001188
NY

Other

Enumeration date
03/12/2016
Last updated
03/12/2016
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