Landry, Nicole Vivian

Landry, Nicole Vivian is an individual health care provider with primary practice located at 229 Laurel Rd , East Northport NY 11731-1118. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Landry, Nicole Vivian can be contacted via phone (631) 659-3337.

Contact Information

Primary practice address
229 Laurel Rd East Northport NY 11731-1118
Phone: (631) 659-3337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1093330763
LBN Legal business name Landry, Nicole Vivian
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2020
Last updated Jun 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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