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

Nickelis Vincent

Individual provider Other Technician · NPI 1831696301

Nickelis Vincent is an Other Technician in Yucaipa, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

34590 County Line Rd Ste 7
Yucaipa, CA 92399-5398
Phone: (909) 795-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1831696301
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2018
Last updated in NPPESApril 10, 2018
Mailing address3411 Grande Vista Pkwy Apt 210, Riverside, CA 92503-5532

Other providers in Yucaipa