NPI 1336698612 · live from the CMS NPI Registry
Nicholas Acker, BCBA, LBA
Behavior Analyst in Hastings, MI. National Provider Identifier 1336698612, active.
NPI record
| NPI | 1336698612 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 419 W Colfax St, Hastings, MI 49058 |
| Practice phone | 269-331-6022 |
| Mailing address | Po Box 129, Hastings, MI 49058 |
| Enumerated | September 27, 2016 |
| Last updated | December 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 7401000952 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.