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

MS. Nicole Marie Desana

Individual provider Behavior Technician · NPI 1063069615

MS. Nicole Marie Desana is a Behavior Technician in Dearborn Heights, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

17200 W Outer Dr Ste A
Dearborn Heights, MI 48127-2457
Phone: (313) 278-4610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063069615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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