Individual provider · Type 1 NPI

Nicole Renee Bonomo, BCBA, LBA-NY

Behavior Analyst · Monsey, NY

NPI number 1104711001 Active

Practice location

6 Martha Rd
Monsey, NY 10952-1406

Mailing address

84 Sherman St
Lynbrook, NY 11563-2020

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X004321 (NY)

Behavior Analyst: 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…

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About NPI 1104711001

Nicole Renee Bonomo, BCBA, LBA-NY's National Provider Identifier is 1104711001, issued on Jun 11, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Monsey, NY. The record was last updated on Jun 11, 2025.