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

Kodi Nickerson

Individual provider Behavior Technician · NPI 1760174494

Kodi Nickerson is a Behavior Technician in Vancouver, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4101 SE 192nd Ave Ste 101
Vancouver, WA 98683-1471
Phone: (360) 605-1881
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 number1760174494
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address5850 Granite Pkwy Ste 600, Plano, TX 75024-6753

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