Individual
ALEXANDER JOHN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 BROCKTON WAY, ASHLAND, CA 94578-2138
(510) 294-9525
Mailing address
1624 BROCKTON WAY, ASHLAND, CA 94578-2138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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