Mysty Nichols
Mysty Nichols is a Behavior Technician in Lake Elsinore, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
35426 Calle GrandeLake Elsinore, CA 92530-7520
Phone: (760) 983-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1326618182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 |
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