Nicole Dedenbach

NPI #1144827692 in Kentwood, Michigan

Provider Information

NPI Number: 1144827692
Entity Type: Individual
Name: Nicole Dedenbach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 7, 2020
Last Updated: Jul 1, 2025

Practice Location

Address: 1545 68TH ST SE STE 201
City: Kentwood
State: Michigan
ZIP Code: 49508-7896
Phone: (616) 253-6097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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