Nichole Ballesteros
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1114683232
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1114683232
- Entity type
- Individual (NPI-1)
- Name
- Nichole Ballesteros
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4883 Ronson Ct Ste LSan Diego, CA 92111-1812
Phone 949-474-1493
Mailing address
18008 Sky Park Cir Ste 110Irvine, CA 92614-6434
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