Nicole Gambardello, RBT
Individual provider Active NPI Behavior Technician · Pemberton, NJ
NPI 1316618960 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1316618960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 43 Elizabeth St
Pemberton, NJ 08068-1232 - Phone
- (609) 316-0195
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Kidz Rehabilitation | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
43 Elizabeth St
Pemberton, NJ 08068-1232
Mailing address
PO Box 253
Skillman, NJ 08558-0253
Other providers in Pemberton, NJ
- Friends of Cyrus II
- Friends of Cyrus II Inc
- Friends of Cyrus II Inc
- Friends of Cyrus Inc
- Friends of Cyrus Inc
- Christina Garson
- Xiomara Gittens
- Patricia D Goodstein
- Patrick T Griggs
- Eileen Gunson
All providers in Pemberton, NJ · Behavior Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.