Individual
NICOLE LYNN CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6627 ROSE ST, CASS CITY, MI 48726
(989) 872-1800
(989) 872-1801
Mailing address
6627 ROSE ST, CASS CITY, MI 48726-1262
(989) 872-1800
(989) 872-1801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11313864
MI
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
—
MI
Other
Enumeration date
11/08/2013
Last updated
03/14/2026
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