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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYSTY NICHOLS

Active Sole Proprietor

MYSTY NICHOLS is a Behavior Technician healthcare provider located in LAKE ELSINORE, California. NPI 1326618182 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LAKE ELSINORE, CA

Registration Details

NPI Number
1326618182
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2021 (4.9568744316598 yrs)
Last Updated
Jun 24, 2021
Sole Proprietor
Yes

Practice Information

Address
35426 CALLE GRANDE
LAKE ELSINORE, CA, 925307520
Browse CA providers · Browse ZIP 92530
Phone
7609831689
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LAKE ELSINORE, CA

Name Credential NPI
BREANNA CHAMBLISS 1841706744
ANA MIRIAM LARA-TORRES 1376019026
KATHERINE N LANDEROS MA 1669946216
FRANCISCO JAVIER BAUTISTA 1528628450
SARAH PAEZ 1639723315
DARIUS D RUFF BEHAVIORAL TECH 1164064747
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.