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

Individual provider Behavior Technician · NPI 1740996305

Nicholas Blaire Vice, BEHAVIORTECHNICIAN is a Behavior Technician in Cookeville, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1680 S Jefferson Ave Ste F&g
Cookeville, TN 38506-2526
Phone: (844) 854-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1740996305
Entity typeIndividual (Type 1)
GenderMale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

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