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NPI Code Detail

MEDICARE: RHIANNA NICKS

MEDICARE: RHIANNA NICKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-501263CO

General Provider Information

NPI Number : 1033074323
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHIANNA NICKS
Provider Business Mailing Address
First Line : 3535 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5292
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3535 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5292
Country : US
Telephone Number : 719-574-7688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ RHIANNA NICKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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