Individual
NICOLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 E 96TH ST, APT. 2D, BROOKLYN, NY 11212-3546
(718) 756-2136
Mailing address
159 E 96TH ST, APT. 2D, BROOKLYN, NY 11212-3546
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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