National Provider Identifier
Candace Marie Nicholson
Candace Marie Nicholson is listed in the NPPES registry with a primary specialty of Behavior Technician in West Seneca, NY and a listed phone number of (818) 241-6780.
Profile Overview
- NPI
- 1871145250
- Provider Type
- Individual
- Primary Specialty
- Behavior Technician
- Enumeration Date
- July 15, 2019
- Last Updated
- July 15, 2019
Practice Location
- 950A Union RD
- West Seneca, NY 14224-3465
Phone: (818) 241-6780
Mailing Address
- 1055 E Colorado Blvd Ste 560
- Pasadena, CA 91106-2380
Specialties
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1871145250
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Candace
- Middle Name
- Marie
- Mailing Street Address
- 1055 E Colorado Blvd Ste 560
- Mailing City
- Pasadena
- Mailing State
- CA
- Mailing ZIP Code
- 91106-2380
- Mailing Country
- US
- Practice Street Address
- 950A Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3465
- Practice Country
- US
- Practice Phone
- (818) 241-6780
- Enumeration Date
- July 15, 2019
- Last Updated
- July 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Technician (106S00000X)