Individual
DYLAN NIKKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
(720) 319-7614
Mailing address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
(720) 319-7614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
16-22492
AZ
Other
Enumeration date
01/24/2018
Last updated
08/24/2021
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