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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAYNA NICKERSON, BCBA

Active Sole Proprietor

SHAYNA NICKERSON, BCBA is a Behavior Analyst healthcare provider located in TRENTON, Maine. NPI 1215344452 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · TRENTON, ME

Registration Details

NPI Number
1215344452
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2014 (11.877182680837 yrs)
Last Updated
Jul 21, 2014
License
1-08-4870
Sole Proprietor
Yes

Practice Information

Address
40 PINE RIDGE LN
TRENTON, ME, 046056546
Browse ME providers · Browse ZIP 04605
Phone
2073176546
Primary Specialty
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.