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Contact Information

JUSTIN A NILSON
16500 VENTURA BLVD STE 414
ENCINO, CA91436-5050
 Phone: 818-788-1003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for JUSTIN A NILSON · (Male)

NPI Number 1356033005
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2023
Last updated 10/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 106S00000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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