COURTNEE NICOLE NICHOLSON (NPI# 1033768874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768874 |
| Entity Type | Individual |
| Full Name | COURTNEE NICOLE NICHOLSON |
| Practice Address |
100 E Main St Ste A Stanton MI 48888-8601 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 9893729550 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | MI | Behavioral Health & Social Service Providers |
| Street Address |
100 E MAIN ST STE A |
| City | STANTON |
| State | MI |
| Zip Code | 48888-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1023619608 | Michelle Marie Leak-rensland | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-11-02 |
| 1437761376 | Tanechia M Watters | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-21 |
| 1407468358 | Cypress Lynn Condon-struble | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-21 |
| 1902416951 | Andrea Jensien Gasco | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-05 |
| 1194334391 | Kaitlyn Ashley Bowman | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-24 |
| 1912515339 | Erika L Pelton | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-22 |
| 1669090338 | Sarah Anne Rewa | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-09 |
| 1336774793 | Quinn R Sanders | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-03-05 |
| 1538794144 | Madalyn Jane Deason | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
| 1497059224 | Dawn Jo Phenix-stoll | In Home Supportive Care | 312 E. Main St., Stanton, MI 48888 | 2011-01-10 |
| 1316247935 | Jenniffer Marie Efaw | Family Medicine | 615 N State St Ste 1, Stanton, MI 48888 | 2010-10-29 |
| 1952637704 | Suzanne A Rasmussen | Massage Therapist | 806 N. State, Stanton, MI 48888 | 2009-10-29 |
| 1790918977 | Faith Works LLC | Massage Therapist | 806 N State St., Stanton, MI 48888 | 2009-09-03 |
| 1659440428 | David Lee Dockham | Dentist | 800 North State Rd, Stanton, MI 48888 | 2006-11-07 |
| 1710074448 | Montcalm Care Network | Community/Behavioral Health | 611 N State Street, Stanton, MI 48888 | 2006-10-06 |
| 1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
| 1366933889 | Penny Jean Crawford | Social Worker | 611 N State St, Stanton, MI 48888 | 2018-05-21 |
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| 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 |
|---|---|---|---|---|
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1952875874 | Julisa Perez-hidrogo | Behavioral Analyst | 7802 Lessue Ave, Stanton, CA 90680-3554 | 2019-01-14 |
| 1306318449 | Jennifer Saligan | Behavioral Analyst | 11400 Court St Apt 2208, Stanton, CA 90680-3339 | 2018-12-31 |
| 1427523257 | Marian Ruby Ruvalcaba | Behavioral Analyst | 7100 Cerritos Ave Unit 5, Stanton, CA 90680-2024 | 2018-10-08 |
| 1992161020 | Diane Gonzalez | Behavioral Analyst | 12621 Moordale Cir Unit E, Stanton, CA 90680-5501 | 2016-01-05 |
| 1962017244 | Naomi Evans | Behavioral Analyst | 100 E Main St, Stanton, MI 48888-8601 | 2020-09-13 |
| 1902416951 | Andrea Jensien Gasco | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-08-05 |
| 1194334391 | Kaitlyn Ashley Bowman | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-24 |
| 1669090338 | Sarah Anne Rewa | Behavioral Analyst | 100 E Main St Ste A, Stanton, MI 48888-8601 | 2020-07-09 |
| 1750906160 | Howard Kaplan | Behavioral Analyst | 12235 Beach Blvd Ste 100, Stanton, CA 90680-3943 | 2020-06-11 |
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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.