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Nicholas Theodore
NPI 1912608407 · Behavior Technician · Fort Gratiot, MI
Nicholas Theodore is a Behavior Technician provider in Fort Gratiot, MI (NPI 1912608407).
Provider details
- NPI number
- 1912608407
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3245 Keewahdin Rd
Fort Gratiot, MI 48059-3498
Phone: (810) 937-2345
Street-level locationGet directions
Mailing address
967 Ann St
Birmingham, MI 48009-1743
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Nicholas Theodore's NPI number?
- Nicholas Theodore's National Provider Identifier (NPI) is 1912608407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Theodore's specialty?
- Nicholas Theodore is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Nicholas Theodore located?
- Nicholas Theodore's practice location on file with NPPES is 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498.
- What is Nicholas Theodore's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Theodore is (810) 937-2345.
- Is Nicholas Theodore's NPI active?
- Yes — Nicholas Theodore's NPI (1912608407) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.