NICOLE AMBER NICHOLS (NPI# 1467971424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971424 |
| Entity Type | Individual |
| Full Name | NICOLE AMBER NICHOLS |
| Practice Address |
2701 University Square Dr Tampa FL 33612-5513 |
| Mailing Address |
175 Middle St Unit 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 8139810815 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-52221 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022582200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2701 University Square Dr, Tampa, FL 336125513 | 8139810815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781062 | Nicole Nichols | Counselor | 34465 Ambrose Hoover Rd, Tickfaw, LA 70466-3917 | 2015-10-02 |
| 1609253715 | Nicole Nichols | Registered Nurse | 1305 N 11th St, Duncan, OK 73533-3705 | 2015-04-28 |
| 1881901684 | Nicole Arielle Nichols | Speech-Language Pathologist | 444 Community Drive Medical Center, Suite 309, Manhasset, NY 11030 | 2010-09-01 |
| 1336301704 | Nicole Nichols | Specialist | 1338 S Extension Road, Topinabee, MI 49791 | 2008-06-27 |
| 1902381346 | Nicole Nichols | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-10-02 |
| 1740721596 | Nicole Nichols | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-03-13 |
| 1568913648 | Nicole Nichols | Speech-Language Pathologist | 416 E 30th St, Baltimore, MD 21218-3934 | 2016-10-24 |
| 1013366384 | Nicole Nichols | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2016-06-08 |
| 1962836551 | Nicole K Nichols | Registered Nurse | 10012 Kennerly Rd, Suite 101, Saint Louis, MO 63128-2197 | 2013-08-30 |
| 1548564883 | Nicole Latrece Nichols | Counselor | 945 Grand St, Starke, FL 32091-1821 | 2010-12-30 |
| Street Address |
2701 UNIVERSITY SQUARE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669723946 | Morgan Rose Drew | Behavioral Analyst | 2701 University Square Dr, Tampa, FL 33612 | 2012-09-26 |
| 1720689227 | Kameron Rainey | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-11-03 |
| 1598379216 | Kennedy Anne Kitchens | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-09-01 |
| 1700499696 | Ariana Lopez-muller | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-08-28 |
| 1699388207 | Jenna Michelle Rinicker | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-08-25 |
| 1821624503 | Jeffrey Allen | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-03-13 |
| 1215560222 | Jillian Chappel | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-02-18 |
| 1750912077 | Djyv Abdou Cezile | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-01-27 |
| 1528607611 | Kyra Christine Brettler | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2020-01-06 |
| 1568001212 | Melissa Mae Lopez | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2019-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
|---|---|---|---|---|
| 1528669892 | Yendria Not Daisson I | Behavior Technician | 2522 Auburn Ave W, Tampa, FL 33614-2802 | 2020-11-03 |
| 1154922581 | Eidis Lopez Roque | Behavior Technician | 8502 Rivershire Ct, Tampa, FL 33634-1114 | 2020-11-03 |
| 1558961862 | Yeney Martin Stevenson | Behavior Technician | 1105 Teakwood Ave, Tampa, FL 33613-1727 | 2020-10-27 |
| 1629677372 | Elaine A Peyno | Behavior Technician | 9042 Grateful Thomas Trl Apt 408, Tampa, FL 33626-1675 | 2020-10-23 |
| 1780283440 | Yissed Ortega Izquierdo | Behavior Technician | 4535 Castaway Dr Apt 1, Tampa, FL 33615-5181 | 2020-10-22 |
| 1790384600 | Thalia Arteaga Ferro | Behavior Technician | 18002 Richmond Place Dr Apt 2123, Tampa, FL 33647-1732 | 2020-10-21 |
| 1265030043 | Yaquelin Sanchez Gines | Behavior Technician | 6910 N Himes Ave, Tampa, FL 33614-4034 | 2020-10-13 |
| 1003414103 | Roman Anthony Pinheiro | Behavior Technician | 8001 Beaty Grove Dr Fl 33626, Tampa, FL 33626-1602 | 2020-10-12 |
| 1790382067 | Zuriam Alonso | Behavior Technician | 4850 Foxshire Cir, Tampa, FL 33624-4316 | 2020-10-08 |
| 1912504606 | Erica Peckens O'connor | Behavior Technician | 15216 Alexis Dr, Tampa, FL 33624-2347 | 2020-10-06 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on NICOLE AMBER NICHOLS.
| 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.