Most Relevant Information
Provider Data
| NPI Number: | 1003323551 |
| Provider Name: | SYDNEY NISHIDA MS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-21-57220 |
Most Important Dates
| Enumeration Date: | 01/05/2018 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
1191 CENTRAL BLVD STE A
BRENTWOOD
CA
945132253
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |