Individual
NICOLE M URETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S 17TH ST FL 2, EASTON, PA 18042-3959
(908) 777-5647
Mailing address
125 S 17TH ST FL 2, EASTON, PA 18042-3959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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