Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNINE MICKULAS
Active Sole ProprietorJEANNINE MICKULAS is a Behavior Technician healthcare provider located in DIX HILLS, New York. NPI 1245650407 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · DIX HILLS, NY
Registration Details
- NPI Number
- 1245650407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2014 (12.282987878348 yrs)
- Last Updated
- Feb 21, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 ARISTA DRDIX HILLS, NY, 117464920Browse NY providers · Browse ZIP 11746
- Phone
- 6316834393
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
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.