Provider Demographics
NPI:1326309485
Name:COHEN NICOLO, DEBORAH (MSED, BCBA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:COHEN NICOLO
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 OAKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2333
Mailing Address - Country:US
Mailing Address - Phone:516-766-0783
Mailing Address - Fax:
Practice Address - Street 1:254 OAKVIEW AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2333
Practice Address - Country:US
Practice Address - Phone:516-766-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist