IndividualActive
Kassandra Mickelson
NPI 1265175962 · Behavior Technician · Stockton, CA
Kassandra Mickelson is a Behavior Technician provider in Stockton, CA (NPI 1265175962).
Provider details
- NPI number
- 1265175962
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 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
83% 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
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (530) 721-9074
Street-level locationGet directions
Mailing address
2837 Moulton Dr
Placerville, CA 95667-4333
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2022-04-19
- Certified
- 2022-04-19
Frequently asked questions
- What is Kassandra Mickelson's NPI number?
- Kassandra Mickelson's National Provider Identifier (NPI) is 1265175962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kassandra Mickelson's specialty?
- Kassandra Mickelson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kassandra Mickelson located?
- Kassandra Mickelson's practice location on file with NPPES is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.
- What is Kassandra Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Kassandra Mickelson is (530) 721-9074.
- Is Kassandra Mickelson's NPI active?
- Yes — Kassandra Mickelson's NPI (1265175962) is active in the NPPES registry as of the last update on 2022-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.