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Nicole Millus

Behavior Technician in Monrovia, CA. Individual provider (NPI-1).

NPI number1982258901
StatusActive
Last updated in NPPESJul 29, 2019

Details

NPI
1982258901
Entity type
Individual (NPI-1)
Name
Nicole Millus
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 29, 2019
Last updated
Jul 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406

Phone 909-519-5501

Mailing address

279 E 25th St
Upland, CA 91784-8331

Phone 909-519-5501

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