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NICOLE NICKERSON
NPI 1750789939
Behavior Analyst in Ronkonkoma, NY

Active since December 19, 2014
70 N OCEAN AVE, RONKONKOMA, NY 11779(631) 375-9055 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Nickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE NICKERSON (NPI 1750789939) is an individual behavior analyst provider in Ronkonkoma, New York, licensed in New York (000523) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1750789939
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameNICOLE NICKERSON
Location Address70 N OCEAN AVERonkonkoma, NY 11779-5016
Mailing Address70 N Ocean AveRonkonkoma, NY 11779-5016 · (631) 375-9055
Phone(631) 375-9055
Sole ProprietorYes
Enumeration DateDecember 19, 2014
✔ NPI 1750789939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in NY · 000523
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
70 N OCEAN AVE, Ronkonkoma, NY 11779
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Other Names 1

Former Name (1)Nicole Hudson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Nickerson's NPI number?

The NPI number for Nicole Nickerson is 1750789939. It was assigned to this individual provider in the NPPES registry on December 19, 2014. The provider is also known as Nicole Hudson.

Where is Nicole Nickerson located?

Nicole Nickerson practices at 70 N Ocean Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 375-9055.

What is Nicole Nickerson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Nicole Nickerson was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.