Nicole Jean Nickerson
Nicole Jean Nickerson is a Behavior Technician provider (Behavior Technician) practicing in Standish, MI, registered in the NPPES registry with NPI 1104665397 since 2024.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104665397 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Nicole Jean Nickerson |
| Sex | Female |
| Practice address | 3727 DEEP RIVER RD, Standish, MI, 48658 |
| Phone | 9897183146 |
| Enumeration date | 2024-05-20 |
| Last updated in NPPES | 2024-05-20 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Primary | — | — |
Copy-ready billing details
Provider: Nicole Nickerson NPI: 1104665397 Taxonomy: 106S00000X (Behavior Technician) Address: 3727 DEEP RIVER RD, Standish, MI, 48658
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508499732 | Valerie Tinnin | Individual | Behavior Analyst | Standish, MI |
| 1447883665 | Kennedy Leonard | Individual | Behavior Technician | Standish, MI |
| 1083247712 | Janet Benjamin | Individual | Behavior Analyst | Standish, MI |
| 1336765668 | Brittany Brissette | Individual | Behavior Technician | Standish, MI |
| 1720696859 | Mary Branum | Individual | Behavior Technician | Standish, MI |
| 1639788060 | Emily Runberg | Individual | Behavior Technician | Standish, MI |
| 1528678430 | Mandi Hunt | Individual | Behavior Technician | Standish, MI |
| 1013529387 | Brittney Garry | Individual | Behavior Technician | Standish, MI |
Verify this record
Cross-check NPI 1104665397 against the authoritative CMS record: view Nicole Jean Nickerson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-05-20.