Nicole Karena Bosse, BCBA, MA

Individual provider Active NPI Behavior Analyst · Easthampton, MA

NPI 1760141659 · NPPES record last updated Dec 8, 2021

Key facts

NPI
1760141659
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
116 Pleasant St Ste 368
Easthampton, MA 01027-2759
Phone
(413) 779-4023
Fax
(413) 517-0379
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
No

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 Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

116 Pleasant St Ste 368
Easthampton, MA 01027-2759

Mailing address

49 Colonial Cir Unit D
Chicopee, MA 01020-1950
Phone (860) 301-7643

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nicole.bosse@tatebehavioral.com Direct

Other providers in Easthampton, MA

All providers in Easthampton, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.