Nicole Gainforth
Individual provider Active NPI Behavior Analyst · Sebewaing, MI
NPI 1417569666 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1417569666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401001916 (MI)
- Practice address
- 610 Hickory CT
Sebewaing, MI 48759-1413 - Phone
- (989) 553-0314
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001916 | MI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001916 | MI | Yes |
| Other Technician | 247200000X |
Addresses
Primary practice location
610 Hickory CT
Sebewaing, MI 48759-1413
Mailing address
610 Hickory CT
Sebewaing, MI 48759-1413
Phone (989) 553-0314
Other providers in Sebewaing, MI
- Canfield Family Practice, LLP
- Cheryl A B Canfield
- Dalton P Coe DDS PC
- Philip Richard Dast
- Claire Helen Gainforth
- Devin Heinlein
- Larissa King
- Megan Ashley Konczal
- Brenda Kay Kretzschmer
- Justin Ray-Edward Kuhl
All providers in Sebewaing, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.