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

Laura Nicoll Vicioso

Individual provider Behavior Technician · NPI 1649951534

Laura Nicoll Vicioso is a Behavior Technician in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

110 Church St
Philadelphia, PA 19106-2201
Phone: (267) 807-0550
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1649951534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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