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

Nicole Odom

Individual provider Behavior Technician · NPI 1609696236

Nicole Odom is a Behavior Technician in Grain Valley, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

108 Buckner Tarsney Rd
Grain Valley, MO 64029-8398
Phone: (816) 265-1170
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-385864 (MO)

Record details

NPI number1609696236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address105 Sw Eagles Pkwy, Grain Valley, MO 64029-8512

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