Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NICOLE JUSTINE TISDALE, M.S., B.C.B.A
Active Sole ProprietorMISS NICOLE JUSTINE TISDALE, M.S., B.C.B.A is a Behavior Analyst healthcare provider located in YORBA LINDA, California. NPI 1164712758 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · YORBA LINDA, CA
Registration Details
- NPI Number
- 1164712758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2011 (15.293046851135 yrs)
- Last Updated
- Apr 15, 2011
- License
-
1-09-5703 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25600 CROSS CREEK DR49CYORBA LINDA, CA, 928876238Browse CA providers · Browse ZIP 92887
- Phone
- 7144975543
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in YORBA LINDA, CA
| Name | Credential | NPI |
|---|---|---|
| KARRIE ANDERSON | MA, BCBA | 1699132985 |
| MICHELLE MARIE JETURIAN | — | 1972288835 |
| VIVIAN CHARBEL BOUKHALIL | — | 1508635186 |
| CHARITY SHELTON | — | 1801786686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.