Individual
NICOLE GARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 OLD ROUTE 146, HALFMOON, NY 12065-3211
(904) 538-0713
(904) 538-0714
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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