Individual
NICOLE BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13 MONARCH WAY, ROCHESTER, NH 03867-2003
(603) 332-2848
(603) 330-0838
Mailing address
13 MONARCH WAY, ROCHESTER, NH 03867-2003
(603) 332-2848
(603) 330-0838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86548
NH
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
08/17/2018
Last updated
07/13/2026
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