Individual provider · NPI-1
Nicole A Henry
Behavior Technician · Farmington Hills, MI
NPI number1750164356
StatusActive
Last updated in NPPESNov 15, 2023
Details
- NPI
- 1750164356
- Entity type
- Individual (NPI-1)
- Name
- Nicole A Henry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Nov 15, 2023
- Last updated
- Nov 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 376J00000X | Homemaker | 0000000 | VA |
Other names
- Nicole A Bernard (Former Name)
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400
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