Individual
NICOLE PELLICIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1709 SAGEMORE DR, MARLTON, NJ 08053-4308
(609) 440-6304
Mailing address
1709 SAGEMORE DR, MARLTON, NJ 08053-4308
(609) 440-6304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5262
NJ
Other
Enumeration date
02/02/2015
Last updated
04/04/2016
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