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NIKKI DUBOSE CEDRC, PSYD STUDENT
NPI 1649934811
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA

Active since October 25, 2021
4519 ENSENADA DR, WOODLAND HILLS, CA 91364(310) 747-5855 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nikki Dubose Cedrc, Psyd Student NPPES

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

NIKKI DUBOSE CEDRC, PSYD STUDENT (NPI 1649934811) is an individual student in an organized health care education/training program in Woodland Hills, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1649934811
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIKKI DUBOSECredential: CEDRC, PSYD STUDENT
Location Address4519 ENSENADA DRWoodland Hills, CA 91364-5410
Mailing Address4519 Ensenada DrWoodland Hills, CA 91364-5410 · (310) 747-5855
Phone(310) 747-5855
Sole ProprietorYes
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1649934811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4519 ENSENADA DR, Woodland Hills, CA 91364
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Other Names 1

Other Name (5)Tara N Dubose

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 Nikki Dubose's NPI number?

The NPI number for Nikki Dubose is 1649934811. It was assigned to this individual provider in the NPPES registry on October 25, 2021. The provider is also known as Tara N Dubose.

Where is Nikki Dubose located?

Nikki Dubose practices at 4519 Ensenada Dr, Woodland Hills, CA 91364. The listed phone number is (310) 747-5855.

What is Nikki Dubose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nikki Dubose was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.