MRS. NICOLE BLACKS (NPI# 1629627070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629627070 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE BLACKS |
| Other Name | MS. NICOLE POTTER |
| Practice Address |
7075 N Highway 1 Cocoa FL 32927-5216 |
| Practice Telephone | 3218883020 |
| Mailing Telephone | 3218883020 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-9802 | FL | Behavioral Health & Social Service Providers |
| Street Address |
7075 N HIGHWAY 1 |
| City | COCOA |
| State | FL |
| Zip Code | 32927-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053620559 | Sharon Helena Willis | Assistant Behavior Analyst | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2010-09-30 |
| 1588265631 | Chelsi Renee Woods | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-11-05 |
| 1023619178 | Susan Grueter | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-11-05 |
| 1033724117 | Kendra Best | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-09-15 |
| 1124633177 | Nicholas Todd | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-09-15 |
| 1447861620 | Arianna Iseman | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-08-12 |
| 1225669799 | Heather K Harkness | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-02-03 |
| 1225688724 | Angelica Washington | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2019-09-17 |
| 1952950321 | Jillian Newman | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2019-09-09 |
| 1184278046 | Bailey Chase Hamilton | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565023 | Susan Guattery Coleman | Dietitian, Registered | 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 | 2014-11-10 |
| 1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
| 1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
| 1659716165 | Tania Melissa Johnson | Social Worker | 5355 Date Palm St, Cocoa, FL 32927 | 2013-05-10 |
| 1538473137 | Irwin Jaraplasan | Dentist | 5235 Fay Blvd, Cocoa, FL 32927 | 2010-08-06 |
| 1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
| 1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
| 1922035088 | Albino Y Kuon | Psychiatry & Neurology | 4360 North Us1, Cocoa, FL 32927 | 2006-06-26 |
| 1801855424 | Faye Ellen O'rourke | Nurse Practitioner | 7227 N. Us Hwy. 1, Port St. John, FL 32927 | 2006-03-22 |
| 1063965275 | Tiffany Williams-brown | Nurse Practitioner | 860 Camp Rd, Cocoa, FL 32927 | 2016-07-25 |
| Find all providers in zip 32927 | ||||
| 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 |
|---|---|---|---|---|
| 1760908537 | Julie Anne Graf | Behavior Technician | 5161 Holden Rd, Cocoa, FL 32927-9004 | 2017-08-14 |
| 1265972079 | Tammy Moseley | Behavior Technician | 4540 Robert St, Cocoa, FL 32927-8240 | 2017-02-27 |
| 1043678733 | Karen Salanty | Behavior Technician | 5489 Flint Rd, Cocoa, FL 32927-2212 | 2016-02-09 |
| 1588265631 | Chelsi Renee Woods | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-11-05 |
| 1023619178 | Susan Grueter | Behavior Technician | 7075 N Highway 1, Cocoa, FL 32927-5216 | 2020-11-05 |
| 1578162723 | Estefany Umanzor | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-10-20 |
| 1982202503 | Alivia Knight | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2020-10-15 |
| 1174121131 | Elijah Bookhart | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-13 |
| 1417554064 | Lauryn Francis | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-07 |
| 1205433901 | Bethany Renae Clarke | Behavior Technician | 7075 N Us Highway 1, Cocoa, FL 32927-5216 | 2020-10-06 |
| Find all providers in COCOA | ||||
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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.