Cristina Nickerson
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1962017558
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1962017558
- Entity type
- Individual (NPI-1)
- Name
- Cristina Nickerson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2020
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1545 Sawtelle BlvdLos Angeles, CA 90025-3200
Phone 707-234-9955
Mailing address
5188 W 20th StLos Angeles, CA 90016-1339
Phone 707-234-9955
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