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Individual

NICOLE ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
116 W 32ND ST, 8TH FLOOR, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
4 SPLIT ROCK RD, PUTNAM VALLEY, NY 10579-3432
(845) 284-2376

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3489
NY

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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