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

Nicole Jean Nickerson

Individual provider Behavior Technician · NPI 1104665397

Nicole Jean Nickerson is a Behavior Technician in Standish, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3727 Deep River Rd
Standish, MI 48658-9458
Phone: (989) 718-3146
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 number1104665397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address2521 N Elms Rd, Flushing, MI 48433-9423

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