Nicholas Wayne Consolo

NPI #1508614736 in La Crescenta, California

Provider Information

NPI Number: 1508614736
Entity Type: Individual
Name: Nicholas Wayne Consolo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 3123 1/2 FOOTHILL BLVD APT 16
City: La Crescenta
State: California
ZIP Code: 91214-2637
Phone: (818) 919-4988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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