Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Nicole Hickenbottom

Individual provider Behavior Technician · NPI 1851224588

Breanna Nicole Hickenbottom is a Behavior Technician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

20601 N 19th Ave Ste 100
Phoenix, AZ 85027-2666
Phone: (888) 754-0398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1851224588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Other providers in Phoenix