Individual
NICOLE HENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SAGAMORE RD, EAST NORWICH, NY 11732-1129
(631) 902-2692
Mailing address
8 SAGAMORE RD, EAST NORWICH, NY 11732-1129
(631) 902-2692
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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