Individual
NICOLE ROBINSON
Active
Sole proprietor
No
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
2700 WESTCHESTER AVE STE 300, PURCHASE, NY 10577-2554
(914) 326-2868
(914) 328-2973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
1357924191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1357924131
STUDENTS WITH DISABILITIES (BIRTH-GRADE 2) INITIAL CERTIFICATE
NY
01
—
1358791191
EARLY CHILDHOOD EDUCATION (BIRTH-GRADE 2) INITIAL CERTIFICATE
NY
Enumeration date
07/18/2018
Last updated
10/18/2022
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