Breanna Nicks

NPI #1043022361 in Southfield, Michigan

Provider Information

NPI Number: 1043022361
Entity Type: Individual
Name: Breanna Nicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 23, 2025
Last Updated: Jan 23, 2025

Practice Location

Address: 29566 NORTHWESTERN HWY STE 100
City: Southfield
State: Michigan
ZIP Code: 48034-1036
Phone: (248) 206-5464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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