Provider Demographics
NPI:1952856452
Name:PATURZO, NICOLE ANNE (BCBA)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANNE
Last Name:PATURZO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2424
Mailing Address - Country:US
Mailing Address - Phone:732-589-1230
Mailing Address - Fax:
Practice Address - Street 1:33 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-2424
Practice Address - Country:US
Practice Address - Phone:732-589-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst