NICKEELA JENELLA AUSTIN

MELVILLE, NY
NPI1558021105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-12-22
Last Update Date2021-12-22
Business Address
NICKEELA JENELLA AUSTIN
225 BROADHOLLOW RD STE MELVILLE
MELVILLE, NY 11747-4822
Phone number: 631-385-7780
Mailing Address
NICKEELA JENELLA AUSTIN
1 LAKE ST
MASSAPEQUA, NY 11758-5508
Phone number: 631-482-0665