KASSANDRA ALEXIS MICKELSON
NPI 1265175962
Behavior Technician in Stockton, CA
About Kassandra Alexis Mickelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSANDRA ALEXIS MICKELSON (NPI 1265175962) is an individual behavior technician in Stockton, California and active in the NPI registry since April 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kassandra Mickelson's NPI number?
The NPI number for Kassandra Mickelson is 1265175962. It was assigned to this individual provider in the NPPES registry on April 19, 2022.
Where is Kassandra Mickelson located?
Kassandra Mickelson practices at 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207. The listed phone number is (530) 721-9074.
What is Kassandra Mickelson's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Kassandra Mickelson was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.