Nick'Kel Jamia Bridges
Behavior Technician in Dearborn, MI. Individual provider (NPI-1).
NPI number1265201701
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1265201701
- Entity type
- Individual (NPI-1)
- Name
- Nick'Kel Jamia Bridges
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2023
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone 313-406-5056
Mailing address
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
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