Individual
MS. NICOLE IANNARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3670 ORCHARD RD, WANTAGH, NY 11793-3131
(516) 993-7844
Mailing address
3670 ORCHARD RD, WANTAGH, NY 11793-3131
(516) 993-7844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000212
NY
Other
Enumeration date
11/16/2012
Last updated
02/03/2022
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