Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaklynn Denise Nichols, RBT-18-56780

Individual provider Behavior Technician · NPI 1023500519

Jaklynn Denise Nichols, RBT-18-56780 is a Behavior Technician in Deerfield Beach, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Virginia.

Licensed in
IL, VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone: (877) 418-2978
Fax: (866) 500-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13918 Central Park Ave Apt 2n, Robbins, IL 60472-1933 — (773) 895-6632

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 18-56780 (IL)
Behavior Technician Taxonomy 106S00000X · Licence 18-56780 (VA)

Record details

NPI number1023500519
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-18-56780
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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