NICOLE VICTORIA KENYON (NPI# 1013405653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013405653 |
| Entity Type | Individual |
| Full Name | NICOLE VICTORIA KENYON |
| Practice Address |
602 Se Starflower Ave Port St Lucie FL 34983-4635 |
| Practice Telephone | 9739346356 |
| Mailing Telephone | 9739346356 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1194252163 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949154 | Nicole C Kenyon | Physician Assistant | 4600 Hale Pkwy, Suite 100, Denver, CO 80220-4020 | 2011-01-25 |
| 1780811547 | Nicole Kenyon | Pharmacist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2009-06-18 |
| 1396917803 | Nicole Germaine Kenyon | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2008-03-25 |
| Street Address |
602 SE STARFLOWER AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34983-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224109 | Skytop Transportation Inc | Non-emergency Medical Transport (VAN) | 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 | 2019-06-17 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1275032252 | Charlotte Simpkins | Nurse's Aide | 462 Se Faith Terrace, Port Saint Lucie, FL 34983 | 2018-02-06 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1922535137 | Superior Living 'llc' | Assisted Living Facility | 496 Southeast Verada, Port St Lucie, FL 34983 | 2017-05-18 |
| 1760931562 | Lisa A Joseph | Registered Nurse | 1602 Se Sandia Dr, Psl, FL 34983 | 2016-09-22 |
| 1891146270 | Janet Bayramyan | Counselor | 453 Nw Dover Ct, Port St Lucie, FL 34983 | 2016-06-27 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1942682406 | Vikash Dahya | Dentist | 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 | 2015-06-22 |
| Find all providers in zip 34983 | ||||
| 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 |
|---|---|---|---|---|
| 1902439995 | Eric Gormley LLC | Behavioral Analyst | 378 Ne Surfside Ave, Port St Lucie, FL 34983-1244 | 2020-02-18 |
| 1528523883 | Richard Shoy | Behavioral Analyst | 180 Sw Paar Dr, Port St Lucie, FL 34953-3509 | 2019-01-31 |
| 1184008740 | Aaron Mohammed | Behavioral Analyst | 191 Sw Palm Dr Apt 306, Port St Lucie, FL 34986-1901 | 2015-07-14 |
| 1689090821 | Colleen Walizer | Behavioral Analyst | 10850 S Federal Hwy # 1, Port St Lucie, FL 34952-6407 | 2014-03-12 |
| 1831511252 | Karen Shipper | Behavioral Analyst | 10850 S Federal Hwy, Suite 2, Port St Lucie, FL 34952-6407 | 2014-01-21 |
| 1548558380 | Dawn M Petrie | Behavioral Analyst | 417 Ne Armory Cir, Port St Lucie, FL 34983-1738 | 2011-07-14 |
| 1528399094 | Cindy R Davis | Behavioral Analyst | 365 Se Whitmore Dr, Port St Lucie, FL 34984-4531 | 2010-01-23 |
| 1649886664 | Proverbs 22:6 Behavioral Therapy Inc | Behavioral Analyst | 1086 Sw Colorado Ave, Port St Lucie, FL 34953-1803 | 2020-09-16 |
| 1922596485 | Jessica Emilssen Cruz Nino | Behavioral Analyst | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2018-04-30 |
| 1356840888 | Pamela Sue Hamm | Behavioral Analyst | 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 | 2018-02-10 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34983 |
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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.