NICOLE JACKLYN BREAULT
NPI 1548909377
Behavior Technician in Maple Grove, MN

Active since May 31, 2022
8980 ZACHARY LN N, MAPLE GROVE, MN 55369(763) 231-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Jacklyn Breault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JACKLYN BREAULT (NPI 1548909377) is an individual behavior technician in Maple Grove, Minnesota and active in the NPI registry since May 2022. She maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1548909377
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameNICOLE JACKLYN BREAULT
Location Address8980 ZACHARY LN NMaple Grove, MN 55369-4018
Mailing Address109 Doctors ParkSaint Cloud, MN 56303-1207 · (320) 774-1908 · Fax (320) 774-2034
Sole ProprietorNo
Enumeration DateMay 31, 2022
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
NPI 1548909377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
8980 ZACHARY LN N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1109 Doctors ParkSaint Cloud, MN 56303-1207 · Phone (320) 774-1908 · Fax (320) 774-2034

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.

Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369

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 Nicole Breault's NPI number?

The NPI number for Nicole Breault is 1548909377. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Nicole Breault located?

Nicole Breault practices at 8980 Zachary Ln N, Maple Grove, MN 55369. The listed phone number is (763) 231-2000.

What is Nicole Breault'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 Nicole Breault was last updated on July 21, 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.