MR. NICKOLAS MCCLAIN (NPI# 1669975348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669975348 |
Entity Type | Individual |
Full Name | MR. NICKOLAS MCCLAIN |
Credential | RBT |
Practice Address |
4935 Hillegas Rd Fort Wayne IN 46818-1934 |
Practice Telephone | 2603381241 |
Practice Fax Number | 2603381231 |
Mailing Telephone | 2603381241 |
Mailing Fax Number | 2603381231 |
Enumeration Date | 2018-03-09 |
Last Update Date | 2018-03-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-17-41654 | IN | Behavioral Health & Social Service Providers |
Street Address |
4935 HILLEGAS RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46818-1934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649490640 | Sara B Johnson | Speech-Language Pathologist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2007-05-01 |
1740811306 | Kayleigh Joy Fisher | Speech-Language Pathologist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1906 | 2020-01-31 |
1093289209 | Debbie J Wise | Developmental Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1906 | 2019-01-22 |
1033691506 | Saymara Re'nay Clauss | Developmental Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2018-08-31 |
1780166256 | Ellen Shuherk | Developmental Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2018-08-31 |
1346735743 | Caitlin Demuth | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2018-06-27 |
1023502143 | Addie Kern | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2018-06-21 |
1083131536 | Taylor Leigh Lopez | Speech-Language Pathologist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2017-08-25 |
1245770346 | Erica Sowder | Speech-Language Pathologist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2017-03-08 |
1457891798 | Laura Smaling | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2017-03-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
Find all providers in zip 46818 |
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 |
---|---|---|---|---|
1821629007 | Jennifer Lyn Jefferies | Behavior Technician | 4422 East 21st Street West Bldg., Fort Wayne, IN 46815-6917 | 2020-01-28 |
1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
1013573427 | Danielle N Degitz | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2019-05-13 |
1073013280 | Meghan Burns | Behavior Technician | 5750 Falls Dr Ste 102, Fort Wayne, IN 46804-7147 | 2018-02-14 |
1194322263 | Courtney Elizabeth Selvia | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
1144827163 | Megan Leigh Torrijos | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
1205433224 | Deborah Baker Graham | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
1275130353 | Brittany Nicole Bowers | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
1134726367 | Grace Esther Barge | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46818 |
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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.