NICOLE WILLS (NPI# 1053818906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053818906 |
| Entity Type | Individual |
| Full Name | NICOLE WILLS |
| Practice Address |
8641 Velvet Dr Port Richey FL 34668-5538 |
| Practice Telephone | 9415858442 |
| Practice Fax Number | 7273721908 |
| Mailing Telephone | 9415858442 |
| Mailing Fax Number | 7273721908 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935637 | Nicole C Wills | Counselor | 506 Dogwood Ln, Conshohocken, PA 19428-2413 | 2016-11-29 |
| Street Address |
8641 VELVET DR |
| City | PORT RICHEY |
| State | FL |
| Zip Code | 34668-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287296 | Manuel Dejesus Correa | Counselor | 9550 Us19 Ste. 202, Port Richey, FL 34668 | 2018-09-04 |
| 1679069256 | Linda Elaine Harper Gorski | Counselor | 6745 Vinanta Ct, Port Richey, FL 34668 | 2018-07-06 |
| 1477063378 | Michelle Jean Ebbert | Hearing Instrument Specialist | 9304 U.S. Hwy N., Port Richey, FL 34668 | 2017-10-05 |
| 1013426618 | Arlene Taylor | Social Worker | 9550 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1285143925 | Pa Group Inc | Pharmacy | 11618 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1467971978 | Marie Waite | Social Worker | Marie Waite, 7403 Bougenville Drive, Port Richey, FL 34668 | 2017-09-15 |
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1336405109 | Staywell Pharmacy Inc. | Pharmacy | 10112 Us Hwy 19, Port Richey, FL 34668 | 2012-04-06 |
| 1821247925 | Milton Rivera | Licensed Practical Nurse | 7701 Arbordale Dr., Port Richey, FL 34668 | 2008-09-12 |
| 1518131424 | Syrnix, Inc | Durable Medical Equipment & Medical Supplies | 7200 San Miguel Dr, Port Richey, FL 34668 | 2008-04-22 |
| Find all providers in zip 34668 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618255 | Rachel Perez Dominguez | Behavior Technician | 7345 Fairfax Dr, Port Richey, FL 34668-5720 | 2020-08-02 |
| 1356975205 | Angela Vachon | Behavior Technician | 7724 Birchwood Dr, Port Richey, FL 34668-2211 | 2020-03-01 |
| 1386125748 | Caitlin Chandler | Behavior Technician | 8252 Monarch Dr, Port Richey, FL 34668-4269 | 2018-08-23 |
| 1316473416 | Elena Marie Divino | Behavior Technician | 11711 Salmon Dr, Port Richey, FL 34668-1240 | 2017-05-10 |
| 1528672847 | Darcy Frick | Behavior Technician | 9550 Us Highway 19 Ste 202, Port Richey, FL 34668-4648 | 2020-09-03 |
| 1124651427 | Elisa Rodriguez | Behavior Technician | 9550 Us Highway 19 Ste 202, Port Richey, FL 34668-4648 | 2020-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1023619855 | Suselis Sanchez Gargallo | Behavior Technician | 65 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1487255337 | Mabel Gonzalez | Behavior Technician | 95 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1063013902 | Lisset Cruz Martinez | Behavior Technician | 671 E 63rd St, Hialeah, FL 33013-1152 | 2020-11-06 |
| 1144821984 | Lissette Maylene Garcia | Behavior Technician | 451 E 23rd St Apt 2, Hialeah, FL 33013-3949 | 2020-11-06 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1922609783 | Ariday Sosa | Behavior Technician | 9600 Nw 25th St Ph Suite, Doral, FL 33172-1416 | 2020-11-06 |
| 1851992846 | Lumey Mendez | Behavior Technician | 1628 Nw 5th Pl, Cape Coral, FL 33993-5110 | 2020-11-05 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT RICHEY |
| Zip Code | 34668 |
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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.