Maverick M Nienaber

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Sendan Center
4201 Meridian St, Unit 113
Bellingham, WA 98226-5532

Phone

(360) 305-3275

NPI assigned

May 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Northwest Psychiatry, PS

  • Child & Adolescent Psychiatry Physician
  • Bellingham, WA
  • NPI 1992072466
  NPD
• Sendan Center

  • Behavior Analyst
  • Bellingham, WA
  • NPI 1831566140
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1578355657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MERIDIAN ST STE 113",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265532",
            "telephone_number": "360-305-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SENDAN CENTER",
            "address_2": "4201 MERIDIAN ST, UNIT 113",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265532",
            "telephone_number": "360-305-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "MAVERICK",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lee Nickell, D.D.S.
• Sheryl Deanna Nickelson, RN
• Hilary Nicol, LMHC
• Scott Nielsen
• Jordan Riley Nielson
• Jeremiah Niles
• Hannah Rose Nilsen
• David Nimock, LMP
• Devyn Nicole Nixon, ARNP
• Matthew B Nixon II

• Behavior Technician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.