Individual
NICOLE ELIZABETH HALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1737 VETERANS HWY, ISLANDIA, NY 11749-1529
(631) 479-2900
Mailing address
87 HILL DR, BOHEMIA, NY 11716-1311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41931
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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