Trever Mickelson
Trever Mickelson is a Behavior Technician in Granite Bay, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4196 Douglas BlvdGranite Bay, CA 95746-5904
Phone: (303) 989-8169
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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 | 1770279598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2023 |
| Last updated in NPPES | April 14, 2023 |
| Certification date | April 14, 2023 |
| Mailing address | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 |
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