Search › New York › 103K00000X
Nicole Petillo, BCBA, LBA
NPI 1366271843 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5 Fillmore Ct
Coram, NY 11727 - Phone
- (718) 844-1406
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York