Mysty Nichols
NPI #1326618182 in Lake Elsinore, California
Provider Information
- NPI Number
- 1326618182
- Entity Type
- Individual
- Name
- Mysty Nichols
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 24, 2021
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 35426 CALLE GRANDE
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-7520
- Phone
- (760) 983-1689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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