BAILEY ALEXIS NICKELL

ONTARIO, CA
NPI1801485024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  117028)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-01-12
Last Update Date2024-05-01
Business Address
BAILEY ALEXIS NICKELL
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764-5104
Phone number: 714-834-1111
Mailing Address
BAILEY ALEXIS NICKELL
10761 STAMFIELD DR
RANCHO CUCAMONGA, CA 91730-6606
Phone number: