Provider Demographics
NPI:1225822893
Name:DELLO, NICOLE (BCBA, LABA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:DELLO
Suffix:
Gender:
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-1133
Mailing Address - Country:US
Mailing Address - Phone:339-224-1139
Mailing Address - Fax:
Practice Address - Street 1:235 WALNUT ST
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-1133
Practice Address - Country:US
Practice Address - Phone:339-224-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALABA3337103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst