IndividualActive
Mikaela Nicholls
NPI 1093436925 · Behavior Technician · Bend, OR
Mikaela Nicholls is a Behavior Technician provider in Bend, OR (NPI 1093436925).
Provider details
- NPI number
- 1093436925
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- ABA-IN-10225094 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19800 Village Office Ct Ste 104
Bend, OR 97702-1813
Phone: (541) 306-3483
Fax: (541) 639-8909
Street-level locationGet directions
Mailing address
19800 Village Office Ct Ste 104
Bend, OR 97702-1813
Registry dates
- Enumerated
- 2022-09-08
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Frequently asked questions
- What is Mikaela Nicholls's NPI number?
- Mikaela Nicholls's National Provider Identifier (NPI) is 1093436925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikaela Nicholls's specialty?
- Mikaela Nicholls is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mikaela Nicholls located?
- Mikaela Nicholls's practice location on file with NPPES is 19800 Village Office Ct Ste 104, Bend, OR 97702-1813.
- What is Mikaela Nicholls's phone number?
- The practice phone number listed in the NPPES registry for Mikaela Nicholls is (541) 306-3483.
- Is Mikaela Nicholls's NPI active?
- Yes — Mikaela Nicholls's NPI (1093436925) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.