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

Kennedy Mickelson

Individual provider Behavior Technician · NPI 1205651288

Kennedy Mickelson is a Behavior Technician in St George, Utah. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

410 E Tabernacle St
St George, UT 84770-2940
Phone: (435) 767-7929
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 number1205651288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2024
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address410 E Tabernacle St, St George, UT 84770-2940

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