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

Nicole Lee Bodart

Individual provider Behavior Technician · NPI 1417874645

Nicole Lee Bodart is a Behavior Technician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1 Heritage Dr Ste 180
Southgate, MI 48195-3094
Phone: (734) 767-2250
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1417874645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Other providers in Southgate