MR. NICHOLAS DAVID RESTIFO (NPI# 1548877053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548877053 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS DAVID RESTIFO |
| Practice Address |
3090 Maple Dr Prior Lake MN 55372-2841 |
| Practice Telephone | 6512959308 |
| Mailing Telephone | 6512959308 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3090 MAPLE DR |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| 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 |
|---|---|---|---|---|
| 1407249584 | Karen Van Rooyen | Behavioral Analyst | 4345 Priorwood St Se, Prior Lake, MN 55372-4403 | 2015-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558933 | Ahmed Osman Abdi | Behavioral Analyst | 1113 E Franklin Ave Ste 111, Minneapolis, MN 55404-2978 | 2020-11-02 |
| 1427658749 | Teresa L Brenke | Behavioral Analyst | 436 5th Ave E, Shakopee, MN 55379-1534 | 2020-10-27 |
| 1275144388 | Marissa Laurel Stordahl | Behavioral Analyst | 5654 Garden Hills Ln, Saint Cloud, MN 56301-3412 | 2020-08-12 |
| 1225646177 | Integrity Living Options, Inc. | Behavioral Analyst | 1121 Jackson St Ne Ste 113, Minneapolis, MN 55413-1637 | 2020-07-16 |
| 1699393371 | Fardowsa Mohamud Ismail | Behavioral Analyst | 3035 Eagandale Pl # 2103055, Eagan, MN 55121-1261 | 2020-07-09 |
| 1700401379 | Mckenzie Thorson | Behavioral Analyst | 7500 Highway 7 Apt 462, St Louis Park, MN 55426-4153 | 2020-06-10 |
| 1659994051 | Sufi Amin Mohamed | Behavioral Analyst | 3055 Old Highway 8 Ste 101f3055, Saint Anthony, MN 55418-2500 | 2020-05-20 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1548880628 | Ali Mudey Omar | Behavioral Analyst | 3055 Old Highway 8 Ste 101, St Anthony, MN 55418-2495 | 2020-04-20 |
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
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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.