Nicole Nyiszter

Individual provider Active NPI Behavior Analyst · South River, NJ

NPI 1881052264 · NPPES record last updated Feb 1, 2016

Key facts

NPI
1881052264
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
21 Yates Ave
South River, NJ 08882-2228
Phone
(732) 789-7644
NPI assigned
Feb 1, 2016
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

21 Yates Ave
South River, NJ 08882-2228

Mailing address

21 Yates Ave
South River, NJ 08882-2228
Phone (732) 789-7644

Other providers in South River, NJ

All providers in South River, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.