Nicholas Wayne Consolo
Individual provider Active NPI Behavior Technician · La Crescenta, CA
NPI 1508614736 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1508614736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3123 1/2 Foothill Blvd Apt 16
La Crescenta, CA 91214-2637 - Phone
- (818) 919-4988
- NPI assigned
- May 13, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3123 1/2 Foothill Blvd Apt 16
La Crescenta, CA 91214-2637
Mailing address
3123 1/2 Foothill Blvd Apt 16
La Crescenta, CA 91214-2637
Phone (818) 919-4988
Other providers in La Crescenta, CA
- Karen Chan Hee Chun
- City Home Health Care Inc
- Carlo Clado
- Sharon Lindsay Clancy
- Richard Alan Collins
- Contento International Inc
- Helen Coco Cook
- Aaron Corbett
- Crescenta Family Dental
- Crescenta Hospice Care, Inc
All providers in La Crescenta, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.