Individual
NICOLE PERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS, BCBA
Contact information
Practice address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
Mailing address
120 E LAKE VIEW DR, DINGMANS FERRY, PA 18328-9135
(845) 943-0035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37109
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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