Sylvia Roxanne Nicholson

NPI #1114462884 in Alta Loma, California

Provider Information

NPI Number: 1114462884
Entity Type: Individual
Name: Sylvia Roxanne Nicholson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 4, 2017
Last Updated: Jan 4, 2017

Practice Location

Address: 8445 MANDARIN AVE
City: Alta Loma
State: California
ZIP Code: 91701-2624
Phone: (909) 247-0468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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