NICOLLE MOFFATT (NPI# 1215550660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215550660 |
| Entity Type | Individual |
| Full Name | NICOLLE MOFFATT |
| Practice Address |
5945 S Los Altos Pkwy Ste 101 Sparks NV 89436-2503 |
| Mailing Address |
Po Box 50843 Sparks NV 89435-0843 |
| Practice Telephone | 7753541380 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5945 S LOS ALTOS PKWY STE 101 |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609125442 | Jillian Defreitas | Behavioral Analyst | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2012-09-07 |
| 1912520362 | Kiya Lanfair | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-05-20 |
| 1538782982 | Angelica Murillo | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-05-20 |
| 1689205833 | Francisco Alvarado | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-01-27 |
| 1558991661 | Haley Jurbala | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-01-17 |
| 1083244198 | Marissa Sierras | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-01-17 |
| 1295365203 | Aryana Martinez | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-01-17 |
| 1295365393 | Harrison Grand | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2020-01-17 |
| 1528605144 | Victoria Mang | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2019-12-02 |
| 1962044305 | Rylee Christensen | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| 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 |
|---|---|---|---|---|
| 1013521806 | Amanda Darlene Reinke | Behavior Technician | 14550 York Rd Bldg Suite, Sparks, MD 21152-9307 | 2020-08-31 |
| 1003441270 | Rosemary Guardado | Behavior Technician | 1058 Prater Way, Sparks, NV 89431-4435 | 2020-03-09 |
| 1326670787 | Julianne Walbrecher | Behavior Technician | 14550 York Rd Ste A, Sparks, MD 21152-9307 | 2020-02-04 |
| 1861057226 | Brittany Messick | Behavior Technician | 5945 S Los Altos Pkwy, Sparks, NV 89436-2502 | 2019-05-01 |
| 1336606490 | Magda Hakim Kalmer | Behavior Technician | 5135 Palo Alto Ct, Sparks, NV 89436-3601 | 2019-02-25 |
| 1760965263 | Shaniah Tammichelle Wood | Behavior Technician | 1130 Avenue of The Oaks Unit 509, Sparks, NV 89431-4880 | 2018-09-11 |
| 1609365956 | Kabriel Duane Hoover | Behavior Technician | 2411 Emblem St, Sparks, NV 89436-9171 | 2018-05-02 |
| 1780195685 | Jose F Vazquez | Behavior Technician | 1200 Rock Blvd Ste 3, Sparks, NV 89431-0956 | 2017-10-18 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1508386988 | Helix Behavioral Services | Behavior Technician | 300 Los Altos Pkwy Ste 109, Sparks, NV 89436-7754 | 2017-06-26 |
| Find all providers in SPARKS | ||||
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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.