Individual
NOELLE NOCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 CORRELL AVE, STATEN ISLAND, NY 10309-4236
(347) 968-7486
Mailing address
593 CORRELL AVE, STATEN ISLAND, NY 10309-4236
(347) 968-7486
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3QAN6976587
ANTHEM
—
Enumeration date
06/09/2022
Last updated
06/09/2022
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