NICOLE WIESE (NPI# 1194282228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194282228 |
| Entity Type | Individual |
| Full Name | NICOLE WIESE |
| Credential | RBT |
| Practice Address |
2601 Willard Road Ste 105 Richmond VA 23294 |
| Mailing Address |
1640 E Parham Road Richmond VA 23228 |
| Practice Telephone | 8043652047 |
| Practice Fax Number | 8047167186 |
| Mailing Telephone | 8043652047 |
| Mailing Fax Number | 8047167186 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | VA | Behavioral Health & Social Service Providers |
| Street Address |
2601 WILLARD ROAD STE 105 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020608 | Nicole Hoppe | Behavior Technician | 2601 Willard Road, Ste 105, Richmond, VA 23294 | 2019-02-25 |
| 1831656917 | Anu Kuriakose | Behavior Technician | 2601 Willard Road, Ste 105, Richmond, VA 23294 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454994 | Joshua Fritz | Behavior Technician | 2601 Willard Rd, Ste 105, Richmond, VA 23294 | 2019-02-26 |
| 1699278713 | Osman Med Transportation LLC | Non-emergency Medical Transport (VAN) | 8703 Queensmere Plz Apt 2, Henrico, VA 23294 | 2018-03-15 |
| 1346742830 | F.c. of Virginia, Inc. | Hospice Care, Community Based | 8401 Mayland Drive Suite L, Richmond, VA 23294 | 2018-03-01 |
| 1497256911 | Susan Marie Robinson | Speech-Language Pathologist | 9200 Mapleview Avenue, Richmond, VA 23294 | 2018-02-21 |
| 1407375512 | Lisa Therese Hall | Speech-Language Pathologist | Skipwith Elementary School, 2401 Skipwith Rd., Henrico, VA 23294 | 2017-09-11 |
| 1295257863 | All Around Taxi Service.inc | Taxi | 8601 Pellington Pl #7, Richmond, VA 23294 | 2017-07-14 |
| 1992225809 | Pony-care Transportation, Inc | Non-emergency Medical Transport (VAN) | 3212 Skipwith Road, Suite L3, Henrico, VA 23294 | 2017-06-21 |
| 1801325295 | Christina Chaney | Behavior Technician | 9351 West Broad St, Henrico, VA 23294 | 2017-06-08 |
| 1033648423 | Sarah Jennings | Behavior Technician | 9351 West Broad St., Henrico, VA 23294 | 2017-06-08 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| Find all providers in zip 23294 | ||||
| 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 |
|---|---|---|---|---|
| 1972104750 | Dmetric Brown | Behavior Technician | 3771 South A St, Richmond, IN 47374-6053 | 2020-11-06 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1104424209 | Laichoy Saechao | Behavior Technician | 611 Nevin Ave Apt B, Richmond, CA 94801-3075 | 2020-10-12 |
| 1932710852 | Thuy Ngoc Tran | Behavior Technician | 8814 Sunrise Terrace Ln, Richmond, TX 77407-4760 | 2020-08-13 |
| 1760091011 | Estefania Yamilet Rodriguez | Behavior Technician | 2360 Gaynor Ave, Richmond, CA 94804-1354 | 2020-07-23 |
| 1518582576 | Eric C Krupnick | Behavior Technician | 7113 Three Chopt Rd # 301, Richmond, VA 23226-3643 | 2020-06-15 |
| 1114540945 | Fiorella Nicolle Via | Behavior Technician | 2838 Lincoln Ave, Richmond, CA 94804-1324 | 2020-05-27 |
| 1356960694 | Shant'e Lynette Bellamy | Behavior Technician | 4906 Cutshaw Ave Ste 200, Richmond, VA 23230-3630 | 2020-04-15 |
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1104465459 | Jessica Elizabeth Melara | Behavior Technician | 3415 Waller Ave, Richmond, CA 94804-3269 | 2020-01-03 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on NICOLE WIESE.
| 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.