Kennedy Nicholson
Behavior Technician in Pearland, TX. Individual provider (NPI-1).
NPI number1871462002
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1871462002
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Nicholson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2025
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-487425 | TX | Yes |
Practice location
8603 Broadway St Ste 170Pearland, TX 77584-8711
Phone 281-290-4411
Mailing address
8603 Broadway St Ste 170Pearland, TX 77584-8711
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