Nicole Marie Jackson, BT
Behavior Technician in Traverse City, MI. Individual provider (NPI-1).
NPI number1710696794
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1710696794
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Jackson
- Credential
- BT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Nicole Marie Mausolf (Former Name)
Practice location
1810 Chartwell DrTraverse City, MI 49696-9283
Phone 231-929-2354 · Fax 231-929-2853
Mailing address
100 E Wexford AveBuckley, MI 49620-5107
Phone 231-493-3944
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Traverse City, MI
- Sarah Elizabeth AdamaNPI 1790472488
- Leelyani AddertyNPI 1376293084
- Michael AgeeNPI 1346997152
- Sally AgeeNPI 1811512700
- Mark Walter AllenNPI 1265003495
- Savannah J AllenNPI 1053014357
- Riley AmorminoNPI 1194333666
- Andrea AndersonNPI 1528839602
- Natalie Clare AndersonNPI 1912839929
- Perla AndresNPI 1073463055
All 519 Behavior Technician providers in Traverse City · All 4,445 providers in Traverse City
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.