Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE A FAIRBURN
ActiveNICOLE A FAIRBURN is a Behavior Technician healthcare provider located in PLYMOUTH, Minnesota. NPI 1427698869 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PLYMOUTH, MN
Registration Details
- NPI Number
- 1427698869
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2020 (6.5769775046664 yrs)
- Last Updated
- Jan 14, 2020
Practice Information
- Address
-
2600 FERNBROOK LN N STE 138PLYMOUTH, MN, 554474752Browse MN providers · Browse ZIP 55447
- Phone
- 9525440349
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| TAISHAWN MILLER | MS, BT | 1659860567 |
| LEA ICHIMURA | — | 1326680463 |
| SARA POFF | — | 1255975728 |
| JASHAE JOHNSON | — | 1346884822 |
| DANIEL SELBY | — | 1902440472 |
| KADIJAT KOLAWOLE AYOUB | — | 1811531387 |
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.