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NPI Code Detail

MEDICARE: NICOLE ANGELA ESCANO BADILLO

MEDICARE: NICOLE ANGELA ESCANO BADILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-23-274852CA

General Provider Information

NPI Number : 1003509431
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ANGELA ESCANO BADILLO
Provider Business Mailing Address
First Line : 9565 WAPLES ST STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-2973
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9565 WAPLES ST STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-2973
Country : US
Telephone Number : 858-695-9444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/31/2023

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Directions to “ NICOLE ANGELA ESCANO BADILLO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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