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

Nathaniel Adam Nickerson

Individual provider Behavior Technician · NPI 1083247340

Nathaniel Adam Nickerson is a Behavior Technician in Airway Heights, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

11919 W Sunset Hwy Ste A
Airway Heights, WA 99001-9466
Phone: (509) 356-5200
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT614222222222220166 (WA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1083247340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2020
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address407 E 2nd Ave Ste 100, Spokane, WA 99202-1428

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