Individual provider · Type 1 NPI
Tamara B. Nicoletto
Developmental Therapist · Medford, NY
Practice location
182 Southaven Ave
Medford, NY 11763-4056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | $$$$$$$$$ (NY) |
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 1689405797
Tamara B. Nicoletto's National Provider Identifier is 1689405797, issued on Aug 10, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Medford, NY. The record was last updated on Aug 10, 2024.