Individual
MRS. NICOLE SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.SPED.
Contact information
Practice address
125 DUDLEY AVE, STATEN ISLAND, NY 10301-4005
(718) 273-1789
Mailing address
125 DUDLEY AVE, STATEN ISLAND, NY 10301-4005
(718) 273-1789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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