Provider Demographics
NPI:1548764459
Name:DA PAZ, NIKKO S (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:NIKKO
Middle Name:S
Last Name:DA PAZ
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 HARTNELL CT
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-5373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARES CONSULTING
Practice Address - Street 2:245 H STREET, SUITE 1
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-4150
Practice Address - Country:US
Practice Address - Phone:209-489-6315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-23
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABACB275281103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty