MEDICARE: NICOLAS CURTIN

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
1	106S00000X	Behavior Technician
2	106E00000X	Assistant Behavior Analyst	RBT-25-440331

General Provider Information

NPI Number	:	1669287967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS CURTIN

Provider Business Mailing Address
First Line	:	4221 WILSHIRE BLVD STE 300A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3537
Country	:	US
Telephone Number	:	888-428-3223
Fax Number	:	323-866-1881

Provider Business Practice Location Address
First Line	:	1905 N SHERMAN ST STE 200-1613
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1140
Country	:	US
Telephone Number	:	888-428-3223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	06/02/2025

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Directions to “ NICOLAS CURTIN ” Practice Location

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