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

Mikaela C Nicholls

Individual provider Behavior Technician · NPI 1093436925

Mikaela C Nicholls is a Behavior Technician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

19800 Vlg Ofc CT Ste 104
Bend, OR 97702-1813
Phone: (541) 306-3483
Fax: (541) 639-8909
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABA-IN-10225094 (OR)

Record details

NPI number1093436925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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