Individual
NICOLE MICHELLE PINATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD COUNTRY RD, WESTBURY, NY 11590-5156
(631) 902-3799
Mailing address
3 BALLAD LN, STONY BROOK, NY 11790-2601
(631) 902-3799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002263
NY
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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