Individual
NICOLE FANATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 SAINT CHARLES AVE STE 203, NEW ORLEANS, LA 70130-5234
(504) 525-2366
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19672
LA
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
07/18/2024
Last updated
02/18/2026
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