Individual
NICOLE MARIE DECICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 7TH AVE 10018, 18TH FLOOR, NEW YORK, NY 10018
(718) 406-7292
Mailing address
463 7TH AVE, NEW YORK, NY 10018-7448
(212) 582-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
179829784
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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