Nicole Suzanne Donato, M.S., B.C.B.A.

Individual provider Active NPI Behavior Analyst · Closter, NJ

NPI 1710375753 · NPPES record last updated Dec 29, 2014

Key facts

NPI
1710375753
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-14-16870
Practice address
304 Harrington Ave
Suite 2B
Closter, NJ 07624-1902
Phone
(201) 660-8270
Fax
(201) 660-8271
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-16870 Yes

Addresses

Primary practice location

304 Harrington Ave
Suite 2B
Closter, NJ 07624-1902

Mailing address

304 Harrington Ave
Suite 2B
Closter, NJ 07624-1902
Phone (201) 660-8270

Other providers in Closter, NJ

All providers in Closter, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.