Nicholas Dibble-Ciudad

NPI #1972013027 in Fair Oaks, California

Provider Information

NPI Number: 1972013027
Entity Type: Individual
Name: Nicholas Dibble-Ciudad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 3, 2017
Last Updated: Oct 3, 2017

Practice Location

Address: 4839 VIR MAR ST APT 9
City: Fair Oaks
State: California
ZIP Code: 95628-8002
Phone: (916) 868-7264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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