Provider Demographics
NPI:1609162825
Name:NOCIVELLI, AURA LEE
Entity Type:Individual
Prefix:
First Name:AURA
Middle Name:LEE
Last Name:NOCIVELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BLACKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-3518
Mailing Address - Country:US
Mailing Address - Phone:978-670-1208
Mailing Address - Fax:
Practice Address - Street 1:1 BLACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3518
Practice Address - Country:US
Practice Address - Phone:978-670-1208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst