Individual provider · Type 1 NPI
Nicole Genova
Developmental Therapist · Wantagh, NY
Practice location
1604 Earl Rd
Wantagh, NY 11793-3118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1033821376
Nicole Genova's National Provider Identifier is 1033821376, issued on Dec 19, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Wantagh, NY. The record was last updated on Dec 19, 2022.