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

Nicole Nickerson

Individual provider Behavior Analyst · NPI 1750789939

Nicole Nickerson is a Behavior Analyst in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

70 N Ocean Ave
Ronkonkoma, NY 11779-5016
Phone: (631) 375-9055
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 000523 (NY)

Record details

NPI number1750789939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2014
Last updated in NPPESDecember 19, 2014
Mailing address70 N Ocean Ave, Ronkonkoma, NY 11779-5016

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