| NPI | 1932637428 |
|---|---|
| Former Name | NICOLE PETRELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-16-23807) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.287) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-05-01 |