Provider Demographics
NPI:1386293116
Name:NOCITA, RONALD SEBASTIANO
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:SEBASTIANO
Last Name:NOCITA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 HARLAN DR APT 25
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3578
Mailing Address - Country:US
Mailing Address - Phone:402-616-3000
Mailing Address - Fax:
Practice Address - Street 1:3813 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68147-1145
Practice Address - Country:US
Practice Address - Phone:402-616-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health