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Nicole Dedenbach

Behavior Technician in Kentwood, MI. Individual provider (NPI-1).

NPI number1144827692
StatusActive
Last updated in NPPESJul 1, 2025

Details

NPI
1144827692
Entity type
Individual (NPI-1)
Name
Nicole Dedenbach
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2020
Certification date
Jul 1, 2025
Last updated
Jul 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1545 68th St Se Ste 201
Kentwood, MI 49508-7896

Phone 616-253-6097

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Phone 844-244-1818

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