Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole M Derosa, PSYD, BCBA-D, LBA

Individual provider Behavior Analyst · NPI 1427309228

Dr. Nicole M Derosa, PSYD, BCBA-D, LBA is a Behavior Analyst in Syracuse, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Intrepid Ln Ste 2
Syracuse, NY 13205-2546
Phone: (315) 797-6241
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Daedalian Dr, Rome, NY 13441-4908 — (315) 797-6241

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 020499 (NY)
Behavior Analyst Taxonomy 103K00000X · Licence 1107150

Record details

NPI number1427309228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , BCBA-D , LBA
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Other providers in Syracuse