Nicole Marie Jackson, BT
Nicole Marie Jackson, BT is a Behavior Technician in Traverse City, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1810 Chartwell DrTraverse City, MI 49696-9283
Phone: (231) 929-2354
Fax: (231) 929-2853
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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 number | 1710696794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BT |
| Sole proprietor | No |
| NPI enumerated | November 18, 2022 |
| Last updated in NPPES | November 18, 2022 |
| Certification date | November 18, 2022 |
| Mailing address | 100 E Wexford Ave, Buckley, MI 49620-5107 |
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