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

Gracie N Nickum

Individual provider Behavior Technician · NPI 1962364091

Gracie N Nickum is a Behavior Technician in Stuart, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone: (855) 832-6727
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962364091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address8550 Arista Pl Apt 104, Broomfield, CO 80021-4176

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