Individual provider · Type 1 NPI

Justin Ace Nilson

Developmental Therapist · Encino, CA

NPI number 1356033005 Active

Practice location

16500 Ventura Blvd Ste 414
Encino, CA 91436-5050

Call (818) 788-1003 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000X106S00000X (CA)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1356033005

Justin Ace Nilson's National Provider Identifier is 1356033005, issued on May 22, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Encino, CA. The record was last updated on Oct 24, 2024.