MYSTY NICHOLS
NPI 1326618182
Behavior Technician in Lake Elsinore, CA

Active since June 24, 2021
35426 CALLE GRANDE, LAKE ELSINORE, CA 92530(760) 983-1689 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mysty Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTY NICHOLS (NPI 1326618182) is an individual behavior technician in Lake Elsinore, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1326618182
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMYSTY NICHOLS
Location Address35426 CALLE GRANDELake Elsinore, CA 92530-7520
Mailing Address662 Encinitas Blvd Ste 208Encinitas, CA 92024-6789 · (760) 634-1125
Sole ProprietorYes
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
NPI 1326618182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
35426 CALLE GRANDE, Lake Elsinore, CA 92530

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mysty Nichols's NPI number?

The NPI number for Mysty Nichols is 1326618182. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Mysty Nichols located?

Mysty Nichols practices at 35426 Calle Grande, Lake Elsinore, CA 92530. The listed phone number is (760) 983-1689.

What is Mysty Nichols's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mysty Nichols was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.