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

CALLAHAN TIMOTHY ROSE NODSLE-VICKERS

Active Sole Proprietor

CALLAHAN TIMOTHY ROSE NODSLE-VICKERS is a Behavior Technician healthcare provider located in PORT ORCHARD, Washington. NPI 1912873332 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PORT ORCHARD, WA

Registration Details

NPI Number
1912873332
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2025 (0.81903628653783 yrs)
Last Updated
Oct 24, 2025
Sole Proprietor
Yes

Practice Information

Address
13765 VINTAGE DR SW
PORT ORCHARD, WA, 983677391
Browse WA providers · Browse ZIP 98367
Phone
2539702414
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PORT ORCHARD, WA

Name Credential NPI
NORA SOFIA EDGE 1073043410
LINDSEY GILES 1063927960
MS. JESSIE MAHNON GONYON 1588170500
ASHLEY LETONA 1477030963
SCEAN PICKERING 1689152522
TROY CHARLTON 1366917502
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.