Ingrid Nicolas
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1629707229
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1629707229
- Entity type
- Individual (NPI-1)
- Name
- Ingrid Nicolas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone 310-856-0800 · Fax 855-568-2494
Mailing address
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone 310-856-0800 · Fax 855-568-2494
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