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

Nicole Mardak

Individual provider Behavior Analyst · NPI 1629433057

Nicole Mardak is a Behavior Analyst in Elmhurst, New York. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5440 74th St
Elmhurst, NY 11373-4702
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
School Psychologist Taxonomy 103TS0200X

Record details

NPI number1629433057
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2015
Last updated in NPPESJune 14, 2021
Certification dateJune 10, 2021
Mailing address5440 74th St, Elmhurst, NY 11373-4702

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