Individual
CELESTE NISHIJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108-1738
(760) 815-6185
Mailing address
3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108-1738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-334
HI
Other
Enumeration date
07/17/2017
Last updated
06/22/2022
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