Mike Daryl Dickenson
Mike Daryl Dickenson is a Behavior Technician in New York, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
601 W 26th St Rm 500New York, NY 10001-1142
Phone: (212) 268-5999
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1689265241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | March 20, 2021 |
| Certification date | March 20, 2021 |
| Mailing address | 601 W 26th St Rm 500, New York, NY 10001-1142 |
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