Provider Demographics
NPI:1740553478
Name:LEMPA, NICOLE (BCBA)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:
Last Name:LEMPA
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 1:3431 BRIDGE AVE
Mailing Address - Street 2:UNIT #20
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2745
Mailing Address - Country:US
Mailing Address - Phone:732-644-3912
Mailing Address - Fax:
Practice Address - Street 1:3431 BRIDGE AVE
Practice Address - Street 2:UNIT #20
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-2745
Practice Address - Country:US
Practice Address - Phone:732-644-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-9018103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst