Individual
MARIAN O NIMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
19443 112TH AVE, SAINT ALBANS, NY 11412-2022
(347) 858-4232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
A61483851
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
05/20/2021
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