MEDICARE: NICOLE ARRABITO BCBA, LBA-NY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	001982	NY

General Provider Information

NPI Number	:	1164213906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ARRABITO BCBA, LBA-NY

Provider Business Mailing Address
First Line	:	9480 RIDGE BLVD APT 1K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6751
Country	:	US
Telephone Number	:	845-781-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	9480 RIDGE BLVD APT 1K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-6751
Country	:	US
Telephone Number	:	845-781-6247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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