Individual
NICHOLAS TYLER LUCATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1295 GUERNSEYTOWN RD, WATERTOWN, CT 06795-1223
(203) 592-8745
Mailing address
87 QUAKER FARMS RD, SOUTHBURY, CT 06488-2750
(203) 592-8745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1976
CT
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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