Nicole Ashley Petillo, BCBA, LBA Valid NPI

Individual provider · Behavior Analyst · Coram, NY

NPI

1366271843

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

License number

004157 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-07-31

Last updated

2025-03-18