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

Prof. Nicole Marie Tankersley

Individual provider Day Training/Habilitation Specialist · NPI 1295629566

Prof. Nicole Marie Tankersley is a Day Training/Habilitation Specialist in Antioch, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4405 Null Dr
Antioch, CA 94509-4343
Phone: (925) 481-8058
Fax: (925) 481-8058
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1295629566
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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