Nichols, Madison Evergreene

Nichols, Madison Evergreene is an individual health care provider with primary practice located at 1420 E Cooley Dr Ste 204 , Colton CA 92324-3953. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Nichols, Madison Evergreene can be contacted via phone (310) 388-7365.

Contact Information

Primary practice address
1420 E Cooley Dr Ste 204 Colton CA 92324-3953
Phone: (310) 388-7365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1659159986
LBN Legal business name Nichols, Madison Evergreene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2023
Last updated Sep 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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