Individual provider · NPI-1

Nichole Denise Brown-Moon

Day Training/Habilitation Specialist · Torrance, CA

NPI number1922504737

StatusActive

Last updated in NPPESMar 2, 2026

Details

NPI: 1922504737
Entity type: Individual (NPI-1)
Name: Nichole Denise Brown-Moon
Sex: Female
Sole proprietor: Yes
Enumeration date: Apr 2, 2018
Certification date: Mar 2, 2026
Last updated: Mar 2, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes
172V00000X	Community Health Worker	–	–

Practice location

21730 S Vermont Ave # 122
Torrance, CA 90502-2196

Phone 310-781-3431

Mailing address

21730 S Vermont Ave # 122
Torrance, CA 90502-2196

Phone 310-781-3431

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