Individual
MS. NICOLE RASAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, BCBA-D
Contact information
Practice address
3 SHIPLEY CT, PITTSTOWN, NJ 08867-4307
(609) 577-3722
Mailing address
3 SHIPLEY CT, PITTSTOWN, NJ 08867-4307
(609) 577-3722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095728
NJ
Other
Enumeration date
02/22/2010
Last updated
04/13/2026
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