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Individual

NICOLE LUCCISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
7119 80TH ST STE 8213, GLENDALE, NY 11385-7733
(347) 639-7969
Mailing address
7119 80TH ST STE 8213, GLENDALE, NY 11385-7733
(347) 639-7969

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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