Provider Demographics
NPI:1134895469
Name:REINSTEIN, NICOLE ANNE
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANNE
Last Name:REINSTEIN
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 1:555 VIRGINIA RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2769
Mailing Address - Country:US
Mailing Address - Phone:201-562-7186
Mailing Address - Fax:
Practice Address - Street 1:555 VIRGINIA RD STE 204
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2769
Practice Address - Country:US
Practice Address - Phone:781-674-0000
Practice Address - Fax:781-674-0000
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician