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

TIMARA NICOLE MICKENS

Active

TIMARA NICOLE MICKENS is a Behavior Technician healthcare provider located in FOUNTAIN INN, South Carolina. NPI 1831887397 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · FOUNTAIN INN, SC

Registration Details

NPI Number
1831887397
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2023 (3.124045850311 yrs)
Last Updated
Apr 24, 2023

Practice Information

Address
491 CHAPMAN RD LOT 111
FOUNTAIN INN, SC, 296446139
Browse SC providers · Browse ZIP 29644
Phone
8434085798
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in FOUNTAIN INN, SC

Name Credential NPI
YALIANIS MENDIVE BEHAVIOR ASSISTANT 1346045143
LISA BARBREY 1184418899
AMY E HANDEL 1821885880
TENIKA BOYCE 1144195280
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.