IndividualActive
Jenna Nichols, RBT
NPI 1346812575 · Behavior Technician · South Bend, IN
Jenna Nichols, RBT is a Behavior Technician provider in South Bend, IN (NPI 1346812575).
Provider details
- NPI number
- 1346812575
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-176075 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 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
17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Registry dates
- Enumerated
- 2021-07-16
- Last updated
- 2021-07-16
- Certified
- 2021-07-16
Frequently asked questions
- What is Jenna Nichols's NPI number?
- Jenna Nichols's National Provider Identifier (NPI) is 1346812575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Nichols's specialty?
- Jenna Nichols is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jenna Nichols located?
- Jenna Nichols's practice location on file with NPPES is 17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512.
- What is Jenna Nichols's phone number?
- The practice phone number listed in the NPPES registry for Jenna Nichols is (574) 400-2169.
- Is Jenna Nichols's NPI active?
- Yes — Jenna Nichols's NPI (1346812575) is active in the NPPES registry as of the last update on 2021-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.