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

Jenna Nichols, RBT

Individual provider Behavior Technician · NPI 1346812575

Jenna Nichols, RBT is a Behavior Technician in South Bend, Indiana. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-176075 (MI)

Record details

NPI number1346812575
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021

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