Nichols, Mysty

Nichols, Mysty is an sole proprietor health care provider with primary practice located at 35426 Calle Grande , Lake Elsinore CA 92530-7520. 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, Mysty can be contacted via phone (760) 983-1689.

Contact Information

Primary practice address
35426 Calle Grande Lake Elsinore CA 92530-7520
Phone: (760) 983-1689
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1326618182
LBN Legal business name Nichols, Mysty
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2021
Last updated Jun 24th, 2021 - about 5 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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