Individual
JENNA M NICOTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 CHESTER DR, YONKERS, NY 10710-1924
(914) 433-9122
Mailing address
145 CHESTER DR, YONKERS, NY 10710-1924
(914) 433-9122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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