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NPI Code Detail

MEDICARE: NICOLE M MASCARI-FLYNN

MEDICARE:   NICOLE M MASCARI-FLYNN
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
1106S00000XBehavior TechnicianRBT-23-306082OH

General Provider Information

NPI Number : 1205773231
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE M MASCARI-FLYNN
Provider Business Mailing Address
First Line : 7423 TIFFANY S
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3908
Country : US
Telephone Number : 330-629-2955
Fax Number :
Provider Business Practice Location Address
First Line : 7423 TIFFANY S
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3908
Country : US
Telephone Number : 330-629-2955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ NICOLE M MASCARI-FLYNN ” Practice Location

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