EMILY ANN NICKEL (NPI# 1003377300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003377300 |
| Entity Type | Individual |
| Full Name | EMILY ANN NICKEL |
| Other Name | EMILY ANN ERTZ |
| Credential | BCABA |
| Practice Address |
126 W Olive Ave Monrovia CA 91016-3410 |
| Mailing Address |
18726 S Western Ave Gardena CA 90248-3813 |
| Practice Telephone | 6262393060 |
| Mailing Telephone | 3108560800 |
| Mailing Fax Number | 8555682494 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-18-9199 | CA | Behavioral Health & Social Service Providers |
| Street Address |
126 W OLIVE AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497755 | Raffi Sarafian | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2015-09-24 |
| 1962053678 | Katrina Cyndee Nhan | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2019-09-24 |
| 1528528916 | Jason Tsai | Behavior Technician | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2019-03-21 |
| 1144784695 | Jennifer Luu | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016 | 2019-01-29 |
| 1821560202 | Mercedes R Martinez-hannon | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2018-12-21 |
| 1780122846 | Bianca Gonzalez | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1295240547 | Salina Anne Navarrette | Behavioral Analyst | 610 S Myrtle Ave, Monrovia, CA 91016-3406 | 2017-12-08 |
| 1487100244 | Aurora Egenias | Behavioral Analyst | 612 S. Myrtle Ave Suite 100, Monrovia, CA 91016 | 2016-08-31 |
| 1124573597 | Arisbeth Hernandez I | Behavioral Analyst | 612 S Myrtle Ave # 100, Monrovia, CA 91016-3406 | 2016-08-16 |
| 1538521729 | Savhanna Montano | Behavioral Analyst | 425 Joella St, Monrovia, CA 91016-4808 | 2016-03-25 |
| 1124497755 | Raffi Sarafian | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2015-09-24 |
| 1518398379 | Katherine Jaimez | Behavioral Analyst | 222 E Huntington Dr Ste 213, Monrovia, CA 91016-8013 | 2013-12-04 |
| 1417218058 | Cristina Cordeiro | Behavioral Analyst | 612 S Myrtle Ave Ste 100, Monrovia, CA 91016 | 2012-05-30 |
| 1962774042 | Aimee Meier | Behavioral Analyst | 147 E Olive Ave, Monrovia, CA 91016-3407 | 2012-02-03 |
| 1538769617 | Positive Development of California PC Real Connections Institute | Behavioral Analyst | 222 E Huntington Dr Ste 211, Monrovia, CA 91016-8013 | 2020-10-28 |
| Find all providers in MONROVIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.