Nicole Mack

NPI #1003541806 in Escondido, California

Provider Information

NPI Number: 1003541806
Entity Type: Individual
Name: Nicole Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 312 S JUNIPER ST STE 202
City: Escondido
State: California
ZIP Code: 92025-4998
Phone: (888) 428-3223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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