Search › California › 103K00000X
Kathleen Nicholson
NPI 1588100655 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6426 W 5th St
Los Angeles, CA 90048 - Phone
- (323) 825-7172
- Fax
- (323) 410-1044
- Organisation at this address
- Jessica Lieber, M.S., Bcba
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Additional practice sites
- 4215 Mary Ellen Ave, Studio City, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California