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

Nichole Marie Moulter

Individual provider Behavior Technician · NPI 1568091130

Nichole Marie Moulter is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155
Phone: (855) 832-6727
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1568091130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

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