Individual
NICOLETTE BAUERMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
112 CHRISTIAN ST APT F, PHILADELPHIA, PA 19147-4276
(407) 416-4252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12476709
PA
Other
Enumeration date
02/10/2020
Last updated
04/28/2025
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