NICOLE JEZIORO (NPI# 1447861380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447861380 |
| Entity Type | Individual |
| Full Name | NICOLE JEZIORO |
| Credential | BCBA |
| Practice Address |
3319 Sugarloaf Pkwy Lawrenceville GA 30044-5483 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 3862357741 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2034 Highway 81, Oxford, GA 300544306 | 3862357741 |
| Street Address |
3319 SUGARLOAF PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134660996 | Jacqueline Nicole Lloyd | Behavioral Analyst | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2017-03-13 |
| 1154921187 | Ariana Fountain | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2020-10-28 |
| 1346872041 | Breashia Debra Meadows | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2020-02-10 |
| 1629617717 | Susan Little | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2020-01-06 |
| 1083253728 | Bria Jones | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2019-12-28 |
| 1588201214 | Ariel Jennings | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2019-12-02 |
| 1881253110 | Florida Autism Center | Assistant Behavior Analyst | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2019-06-11 |
| 1558822957 | Jordan Faith Billingsley | Behavior Technician | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1053924043 | Anneka Ricketts | Behavioral Analyst | 2500 Brunswick Pike Ste 200, Lawrenceville, NJ 08648-4134 | 2020-08-28 |
| 1568082139 | Rachel Elizabeth Rider | Behavioral Analyst | 175 Gwinnett Dr Ste 300, Lawrenceville, GA 30046-8444 | 2020-04-23 |
| 1912544156 | Kids Talk Therapy | Behavioral Analyst | 1113 Town Square Ct, Lawrenceville, GA 30046-8379 | 2019-12-06 |
| 1083262836 | Denroc Enterprises LLC | Behavioral Analyst | 1070 Bridle Path Dr, Lawrenceville, GA 30045-8213 | 2019-08-26 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1134660996 | Jacqueline Nicole Lloyd | Behavioral Analyst | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2017-03-13 |
| 1598204406 | Kay Woods | Behavioral Analyst | 600 Summerstone Ln, Lawrenceville, GA 30044-5494 | 2017-02-13 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| 1265834345 | Melissa Fortson | Behavioral Analyst | 1739 Legrand Cir, Lawrenceville, GA 30043-8184 | 2014-09-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on NICOLE JEZIORO.
| 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.