Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Nicholson

Individual provider Behavior Technician · NPI 1588100655

Kathleen Nicholson is a Behavior Technician in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

6426 W 5th St
Los Angeles, CA 90048-4710
Phone: (323) 825-7172
Fax: (323) 410-1044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4215 Mary Ellen Ave, Studio City, CA 91604-1823 — (339) 221-8867

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12041860 (CA)
Behavior Technician Taxonomy 106S00000X · Licence 15-06-818 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588100655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2017
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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