Most Relevant Information
Provider Data
| NPI Number: | 1003377300 |
| Provider Name: | EMILY ANN NICKEL BCABA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 0-18-9199 |
Most Important Dates
| Enumeration Date: | 03/28/2019 |
| Last Updated: | 03/28/2019 |
Provider Practice Location
126 W OLIVE AVE
MONROVIA
CA
910163410
Practice Location Phone/Fax
| Phone: | 6262393060 |
| Fax: |
Provider Mailing Location
18726 S WESTERN AVE
GARDENA
CA
902483813
Provider Mailing Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |