Individual provider · Type 1 NPI

Nicole Justine Tisdale, M.S., B.C.B.A

Behavior Analyst · Yorba Linda, CA

NPI number 1164712758 Active

Practice location

25600 Cross Creek Dr, 49C
Yorba Linda, CA 92887-6238

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-09-5703 (CA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1164712758

Nicole Justine Tisdale, M.S., B.C.B.A's National Provider Identifier is 1164712758, issued on Apr 15, 2011. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Yorba Linda, CA. The record was last updated on Apr 15, 2011.