Individual
NICOLE M SIRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
140 TERRY DR STE 105, NEWTOWN, PA 18940-1896
(215) 704-9224
Mailing address
140 TERRY DR STE 105, NEWTOWN, PA 18940-1896
(215) 704-9224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66607
PA
106S00000X
Behavior Technician
RBT-21-178135
PA
Other
Enumeration date
08/02/2021
Last updated
07/28/2026
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