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

Nicole Jacklyn Breault

Individual provider Behavior Technician · NPI 1548909377

Nicole Jacklyn Breault is a Behavior Technician in Maple Grove, Minnesota. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8980 Zachary Ln N
Maple Grove, MN 55369-4018
Phone: (763) 231-2000
Show map & directions

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

Additional practice locations (1)

  • 109 Doctors Park, Saint Cloud, MN 56303-1207 — (320) 774-1908

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1548909377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address109 Doctors Park, Saint Cloud, MN 56303-1207

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