NPI 1023501186

Nicklaus Jon Duiker

Practitioner Assistant Behavior Analyst Detroit, MI

Practice location

Address: 400 Renaissance Ctr STE 2600, Detroit, MI 48243-1502
Phone: (855) 832-6727
Fax: (772) 675-9100

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1023501186
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2018
Record last updated: 12 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.