Individual
NICOLE MAMMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 NEW HAMPSHIRE ST, APT 25, LONG BEACH, NY 11561-1301
(516) 509-8068
Mailing address
15 NEW HAMPSHIRE ST, APT 25, LONG BEACH, NY 11561-1301
(516) 509-8068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13666
NY
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
About Stedi
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