Nicole Jean Nickerson
Behavior Technician in Standish, MI. Individual provider (NPI-1).
NPI number1104665397
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1104665397
- Entity type
- Individual (NPI-1)
- Name
- Nicole Jean Nickerson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3727 Deep River RdStandish, MI 48658-9458
Phone 989-718-3146
Mailing address
2521 N Elms RdFlushing, MI 48433-9423
Phone 989-718-3146
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All 54 Behavior Technician providers in Standish · All 175 providers in Standish
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