NICOLE JORDAN (NPI# 1588158794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588158794 |
| Entity Type | Individual |
| Full Name | NICOLE JORDAN |
| Credential | BCABA |
| Practice Address |
6976 Professional Pkwy E Lakewood Ranch FL 34240 |
| Mailing Address |
175 Middle St Unit 1201 Lake Mary FL 32746-3625 |
| Practice Telephone | 9413084641 |
| Practice Fax Number | 9413426189 |
| Mailing Telephone | 8666100580 |
| Mailing Fax Number | 4075886294 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | 0-18-8907 | Behavioral Health & Social Service Providers | |
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996413 | Nicole Jordan | Social Worker | 388 Evans St Fl 1, Buffalo, NY 14221-5626 | 2016-12-10 |
| 1154863702 | Nicole Jordan | Licensed Practical Nurse | 478 Lexington Ave, Rochester, NY 14613-1943 | 2016-11-14 |
| 1770933095 | Nicole M Jordan | Counselor | 410 E Grandview Ave # A-2, Zelienople, PA 16063-1211 | 2016-06-17 |
| 1093157661 | Nicole Jordan | Counselor | 8 Shore Dr, Canton, MA 02021-2652 | 2013-07-24 |
| 1306358015 | Nicole C Jordan | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1801342423 | Nicole Jordan | Audiologist-Hearing Aid Fitter | 2452 Watson Ct, #1700, Palo Alto, CA 94303 | 2016-09-01 |
| 1528438769 | Nicole Michelle Jordan | Social Worker | 1350 41st Ave, Suite 201, Capitola, CA 95010-3906 | 2015-09-30 |
| 1013304989 | Nicole Jordan | Internal Medicine | 7600 River Rd, North Bergen, NJ 07047-6217 | 2015-04-18 |
| 1215288162 | Nicole Elizabeth Jordan | Speech-Language Pathologist | 104 Stampede St, Newcastle, WY 82701-3037 | 2012-10-01 |
| 1720374713 | Nicole Elizabeth Jordan | Nurse Practitioner | 83 Columbia St, Orlando, FL 32806-1106 | 2011-06-28 |
| Street Address |
6976 PROFESSIONAL PKWY E |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861892655 | Alexandrea Figueroa | Behavioral Analyst | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2014-08-28 |
| 1205449667 | Adrienne R Devine | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2020-08-26 |
| 1720604291 | Amaia Imari Cliatt | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2020-06-22 |
| 1790314938 | Kim Lori Renner | Psychologist | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2020-04-08 |
| 1639703465 | Samantha Caputa | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2020-03-02 |
| 1942845136 | Sierra Michele Silva | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2019-11-12 |
| 1740823798 | Madeline Grace Dawson | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2019-10-22 |
| 1871135442 | Gabrielle Levy | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2019-10-15 |
| 1093362550 | Sarah Gardy | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2019-08-20 |
| 1700430873 | Vanni Stahl | Behavior Technician | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2019-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1659918704 | Jessie Lee Mcgath | Behavior Technician | 8425 Vicela Drive, Sarasota, FL 34240 | 2019-12-09 |
| 1841847217 | Susan Lorraine Sell | Occupational Therapy Assistant | Sensory Solutions LLC, 22 Sarasota Center Blvd, Sarasota, FL 34240 | 2019-08-21 |
| 1366912990 | Mary Cecelia Prado | Behavior Technician | 6976 Professional Parkway, Lakewood Ranch, FL 34240 | 2018-11-27 |
| 1841783172 | Rachel M Sproha | Behavior Technician | 8259 Vicela Dr, Sarasota, FL 34240 | 2018-06-12 |
| 1942792767 | Performance Acupuncture | Acupuncturist | 5212 Paylor Ln, Sarasota, FL 34240 | 2018-06-06 |
| 1194125773 | Magnolia Dialysis LLC | Clinic/Center | 6960 Professional Pkwy E, Units 4 & 5, Sarasota, FL 34240 | 2014-09-02 |
| 1497164370 | Terrie Rierson | Speech-Language Pathologist | 63 Sarasota Center Blvd #101, Sarasota, FL 34240 | 2014-08-05 |
| 1982984134 | Angelheart LLC | Family Medicine | 3004 Seasons Boulivard, Sarasota, FL 34240 | 2011-08-19 |
| 1225259492 | Michael S Goren | Pharmacist | 775 Bell Road, Sarasota, FL 34240 | 2007-05-02 |
| Find all providers in zip 34240 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1437652989 | Florida Autism Center | Assistant Behavior Analyst | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKEWOOD RANCH |
| Zip Code | 34240 |
Please comment or provide details below to improve the information on NICOLE JORDAN.
| 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.