Healthcare Provider Details

I. General information

NPI: 1568308955
Provider Name (Legal Business Name): NISHKA KIRAN INGALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 S FAIRFAX AVE FL 2
LOS ANGELES CA
90036-2166
US

IV. Provider business mailing address

17516 GRIDLEY RD
ARTESIA CA
90701-3858
US

V. Phone/Fax

Practice location:
  • Phone: 323-916-4602
  • Fax:
Mailing address:
  • Phone: 310-886-9166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: