Most Relevant Information
Provider Data
| NPI Number: | 1003509431 |
| Provider Name: | NICOLE ANGELA ESCANO BADILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-274852 |
Most Important Dates
| Enumeration Date: | 05/31/2023 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
9565 WAPLES ST STE 100
SAN DIEGO
CA
921212973
Practice Location Phone/Fax
| Phone: | 8586959444 |
| Fax: |
Provider Mailing Location
9565 WAPLES ST STE 100
SAN DIEGO
CA
921212973
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |